Consecutive Spontaneous Triplet and Twin Pregnancies in a Woman After Renal Transplantation.

BACKGROUND: There are numerous reports of successful pregnancies following kidney transplantation. However, little information is available regarding the management and evolution of multiple pregnancies in a kidney-transplanted woman.

CASE REPORT: We report the case of successful consecutive spontaneous triplet and twin pregnancies in a woman who had undergone kidney transplantation at 30 years of age, 12 years before the first pregnancy, as a result of end-stage renal disease secondary to chronic glomerulonephritis due to diffuse proliferative lupus nephritis. An integrated multidisciplinary team closely followed progress during the pregnancies. Maternal complications during the pregnancies included light proteinuria, controlled hypertension, and anemia. No graft rejection episodes or deterioration of renal function was noted during the pregnancies or after the deliveries.

CONCLUSION: Currently, more than 2 years after her last pregnancy, the mother and all 5 babies are healthy and the mother's renal transplant function is normal.