Counselling on Conceiving
| العنوان: | Counselling on Conceiving |
|---|---|
| المؤلفون: | Marleen C. van Buren, Margriet Gosselink, Emma K. Massey, Jacqueline van de Wetering, A. Titia Lely |
| المساهمون: | Internal Medicine |
| المصدر: | Transplant International, 36:11052. Wiley-Blackwell Publishing Ltd |
| بيانات النشر: | Wiley-Blackwell Publishing Ltd, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Transplantation |
| الوصف: | Pregnancy after kidney transplantation (KT) conveys risks of adverse pregnancy outcomes (APO). Little is known about performance of pre-pregnancy counselling after KT. This study investigated perceptions of risk, attitudes towards pregnancy and factors influencing advice given at pre-pregnancy counselling after KT. A web-based vignette survey was conducted among nephrologists and gynaecologists between March 2020 and March 2021, consisting of five vignettes containing known risk factors for APO and general questions on pre-pregnancy counselling after KT. Per vignette, attitudes towards pregnancy and estimation of outcomes were examined. In total 52 nephrologists and 25 gynaecologists participated, 56% from university hospitals. One third had no experience with pregnancy after KT. All gave positive pregnancy advice in the vignette with ideal circumstances (V1), versus 83% in V2 (proteinuria), 81% in V3 (hypertension), 71% in V4 (eGFR 40 ml/min/1.73 m2). Only 2% was positive in V5 (worst-case scenario). Chance of preeclampsia was underestimated by 89% in V1. 63% and 98% overestimated risk for graft loss in V4 and V5. Professionals often incorrectly estimated risk of APO after KT. As experience with pregnancy after KT was limited among professionals, patients should be referred to specialised centres for multidisciplinary pre-pregnancy counselling to build experience and increase consistency in given advice. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1432-2277 0934-0874 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e3f23c2efdc05c507e1621859f0cf8d6 https://pure.eur.nl/en/publications/eb586411-cfde-4ad7-922a-1c7bb5af906b |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e3f23c2efdc05c507e1621859f0cf8d6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322277 09340874 |
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