ABSTRACT
Pregnancy in a renal homograft recipient resulted in an emergency cesarean section
at 32 weeks' gestation secondary to maternal small bowel obstruction with necrotic
bowel and subsequent intestinal perforation. The 1814 gm female product of this pregnancy
had a moderate degree of in utero asphyxia, which subsequently, based on radiologic
studies, had to be differentiated from the possibility of a congenital viral infection.
Several concerns arose regarding the effects on the fetus by maternal immuno-suppressive
therapy, the risk factors faced by both the fetus and the mother secondary to the
mother's renal disease, and the general outcome of the increasing number of pregnancies
in this population.
