The overall post-KT live birth rate of 73.5% (95%CI 72.1–74.9) was higher than the general US population (66.7%) similarly, the overall post-KT miscarriage rate of 14.0% (95%CI 12.9–15.1) was lower (17.1%). Of 1343 unique studies, 50 met inclusion criteria, representing 4706 pregnancies in 3570 KT recipients. To obtain more generalizable inferences, we performed a systematic review and meta-analysis of articles published between 20 that reported pregnancy-related outcomes among KT recipients. Although KT improves reproductive function in women with ESRD, studies of post-KT pregnancies are limited to a few voluntary registry analyses and numerous single-center reports. Approximately 50 000 women of reproductive age in the United States are currently living after kidney transplantation (KT), and another 2800 undergo KT each year.
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