Contraception and fertility awareness amongwomenwith solid organ transplants

Valerie A. French, John S Davis, Harlan S. Sayles, Serena S. Wu

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

OBJECTIVE: To assess the contraception and fertility counseling provided to women with solid organ transplants. METHODS: A telephone survey of 309 women aged 19- 49 years who had received a solid organ transplant at the University of Nebraska Medical Center was performed. Of the 309 eligible women, 183 responded. Patients were asked 19 questions regarding pretransplant and posttransplant fertility awareness and contraception counseling. Data were summarized using descriptive statistics. RESULTS: Patients had undergone a variety of solid organ transplantations: 40% kidney (n573); 32% liver (n559); 6% pancreas (n511); 5% heart (n59); 3% intestine (n55); and 14% multiple organs (n526). Before their transplantations, 79 women (44%) reported they were not aware that a woman could become pregnant after transplantation. Only 66 women aged 13 and older at the time of transplantation reported that a health care provider discussed contraception before transplantation. Approximately half of women surveyed were using a method of contraception. Oral contraceptive pills were the most commonly recommended method. Twenty-two of the 31 pregnancies after organ transplantation were planned, which is higher than that of the general population. CONCLUSION: Few women with transplants are educated regarding the effect of organ transplantation on fertility and are not routinely counseled about contraception or the potential for posttransplant pregnancy. Health care providers should incorporate contraceptive and fertility counseling as part of routine care for women with solid organ transplants.

Original languageEnglish (US)
Pages (from-to)809-814
Number of pages6
JournalObstetrics and gynecology
Volume122
Issue number4
DOIs
StatePublished - Oct 1 2013

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Contraception
Fertility
Transplants
Organ Transplantation
Transplantation
Counseling
Health Personnel
Pregnancy
Oral Contraceptives
Contraceptive Agents
Telephone
Intestines
Pancreas
Kidney
Liver
Population

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Contraception and fertility awareness amongwomenwith solid organ transplants. / French, Valerie A.; Davis, John S; Sayles, Harlan S.; Wu, Serena S.

In: Obstetrics and gynecology, Vol. 122, No. 4, 01.10.2013, p. 809-814.

Research output: Contribution to journalArticle

French, Valerie A. ; Davis, John S ; Sayles, Harlan S. ; Wu, Serena S. / Contraception and fertility awareness amongwomenwith solid organ transplants. In: Obstetrics and gynecology. 2013 ; Vol. 122, No. 4. pp. 809-814.
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