Journal of Advanced Diabetes Research

Abstract

Pregnancy in a kidney transplant recipient remains inherently challenging due to the complex interplay between allograft survival, immunosuppressive medications, and maternal-fetal physiology. We present the case of a 25-year-old woman who underwent live unrelated renal transplantation for chronic kidney disease secondary to chronic glomerulonephritis in 2007. Over the subsequent six months, she developed new-onset diabetes after transplantation (NODAT) requiring insulin therapy. Despite this metabolic complication combined with hypertension and left ventricular dysfunction, she successfully carried a pregnancy to 35 weeks, at which point an emergency lower uterine cesarean section was performed due to abnormal fetal Doppler studies. Both mother and infant recovered well and were discharged home in stable condition. This case illustrates the feasibility of successful pregnancy outcomes in carefully managed renal transplant recipients with multiple comorbidities, while underscoring the necessity of a multidisciplinary approach and close maternal-fetal surveillance.