Kidney transplantation and pregnancy.

Genetically active women suffering from chronic renal failure must have kid ney transplantation to carry one or more pregnancies to term. Such pregnanc ies must be considered as high-risk pregnancies requiring multidisciplinary surveillance. The role of the transplanting physician is to explain to the se patients the risk of pregnancy for the graft and also to help them plan their pregnancy at the optimal moment, The role of the gynecologist is main ly to optimize fetal surveillance and limit the risk of hypotrophy. The cur rent high quality of this collaboration has made it possible to achieve exc ellent results for the mother and the child. We present recent epidemiologi cal data on the consequences of kidney transplantation on pregnancy, the co nsequences of pregnancy on the renal graft and also on the modalities of th e necessary multidisciplinary follow-up.