The pregnancy following kidney transplantation and interdisciplinary approach: Review [Böbrek transplantasyonu sonrasi{dotless} gebelik ve disiplinlerarasi{dotless} yaklaşi{dotless}m]

A sizable portion of females that are 15 to 49 years old in reproductive age become pregnant following kidney transplantation. After a successful transplantation, renal and endocrine functions quickly return to normal in many women and ovulation ensues as well normal sexual life continues. Data exist in medical literature about the increased rate of live births and pregrancy following dialysis and especially transplantation. Five percent of women in reproductive age, who under went transplantation can conceive. However, permission which is given 18 to 24 months after transplantation for conceiving, is important for maternal and fetal well being. Today, transplantation became a frequently utilized option for the treatment of end stage kidney disease. With technical improvements, pregnancy following transplantation is considered frequently and live birth rates are increased along with. According to the "The National Transplantation Pregnancy Registry (NTPR)" 2008 data, which is the center for the registry of pregnant patients under went kidney transplantation, a total 1.262 births from 1.226 pregnancies (including twins and trip lets) are seen in 787 patients after kidney transplantation. Maternal and fetal risks should al ways be considered although succesful pregnancy rates have been reported to be increased in female patients following kidney transplantation. For successful pregnancy following transplantation, physician, nurse and mid wifes contribute to get her for continuity for the antepartum, intrapartum and postpartum follow up, care, treatment that are given as interdisciplinary approach. © 2010 by Türkiye Klinikleri

Influence of prenatal risks of pregnant women on mental symptoms [Gebelerin prenatal risklerinin ruhsal belirtilere etkisi]

Objective: In this study, it was aimed to investigate the influence of prenatal risk indicator scores of pregnant women on mental symptoms. Methods: This cross-sectional study was carried out with 142 pregnant women who were admitted to obstetrics clinic of a state hospital in İzmir province and who stated that they were not diag-nosed with any psychiatric diseases. A form questioning socio-demographic and obstetric characteristics of preg-nant women, Prenatal Risk Indicator aiming at determining risk of pregnant women and Brief Symptom Inventory (BSI) aiming at screening mental symptoms were used for data collection. Results: The most common risk fac-tors according to risk indicator were detected as experiencing urinary tract infection during the current pregnancy, being nulliparous, receiving late or insufficient prenatal care and inadequate weight gain and almost half of the pregnant women were found to be high risk. In addition, it was found that BSI scores were low, paranoid thought scores were high in high risk women and there was a positive correlation and phobic anxiety scores of all preg-nant women were equal. Conclusion: High risk pregnant women were detected to have paranoid thoughts and all pregnant women found to experience phobic anxiety equally