Health education for women after kidney transplantation about pregnancy: a contribution to nursing

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DOI:

https://doi.org/10.21727/rpu.v16i2.5104

Abstract

Introduction: Pregnancy after kidney transplantation involves significant risks that need to be managed appropriately. For a successful outcome of pregnancy after kidney transplantation, women should be monitored and guided by nurses with scientific knowledge about kidney transplantation and its impact on pregnancy. Materials and Methods: An integrative literature review was conducted in the LILACS and PUBMED databases, via BVS. The search included articles published in the last 5 years, in Portuguese, English and Spanish, using descriptors related to pregnancy in kidney transplant recipients. Results: Five studies were selected, addressing complications such as preeclampsia and premature birth. Preeclampsia rates can reach 25% among women with pre-existing hypertension. In addition, pregnancies are often marked by premature birth and low birth weight, especially among those with chronic hypertension. Discussion: Immunosuppressive medications present teratogenic risks and should be managed carefully. Health education is essential to enable these women to understand their condition and the necessary care. Continuous monitoring of maternal health and changing immunosuppressants before pregnancy are crucial to minimize risks. Final Considerations: It is essential to implement educational programs that ensure access to information and emotional support. The creation of educational materials, such as informative videos, is a priority to ensure that transplanted women have access to the information necessary for a safe and healthy pregnancy. Therefore, specialized care from the multidisciplinary team is crucial to meet the specific needs of these patients during pregnancy.

Keywords: Chronic Kidney Disease; Transplant; Gestation; Health Education.

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Author Biographies

Cristiane de Mello Barreto, Universidade Estadual do Rio de Janeiro (UERJ)

Discente de Enfermagem da Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brasil. 

Viviane Ganem Kipper de Lima, Universidade do Estado do Rio de Janeiro (UERJ)

Docente do Curso de Enfermagem da Universidade do Estado do Rio de Janeiro (UERJ), Mestre em Enfermagem, Rio de Janeiro, RJ, Brasil. 

Tatiane da Silva Campos, Universidade Estadual do Rio de Janeiro (UERJ)

Docente do Curso de Enfermagem da Universidade do Estado do Rio de Janeiro (UERJ), Doutora em Bioética ética aplicada e Saúde coletiva, Rio de Janeiro, RJ, Brasil. 

Fabrine Cobucci de Sousa, Universidade do Estado do Rio de Janeiro (UERJ)

Docente do Curso de Enfermagem da Universidade do Estado do Rio de Janeiro (UERJ), Enfermeira Maternidade Escola Universidade Federal do Rio de Janeiro, Mestre em Ciencias, Rio de Janeiro, RJ, Brasil. 

Ninive Pita Gomes de Oliveira, Universidade Estadual do Rio de Janeiro (UERJ)

Discente do Doutorado em Enfermagem da Universidade do Estado do Rio de Janeiro (UERJ), Enfermeira Hospital Universitário Pedro Ernesto, Mestre em Enfermagem, Rio de Janeiro, RJ, Brasil. 

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Published

2025-07-19

Issue

Vol. 16 No. 2 (2025): Revista Pró-UniverSUS V 16 N 2

Section

Articles

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Copyright (c) 2025 Cristiane de Mello Barreto, Viviane Ganem Kipper de Lima, Tatiane da Silva Campos, Fabrine Cobucci de Sousa, Ninive Pita Gomes de Oliveira

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