Pregnancy in Chronic Liver Disease: Before and After Transplantation

Ann Hepatol. 2021 Dec:26:100557. doi: 10.1016/j.aohep.2021.100557. Epub 2021 Oct 14.

Abstract

Chronic liver disease poses various challenges for women of reproductive age. Cirrhosis, particularly if decompensated, and liver transplantation may impact gestation and perinatal outcomes. Tailored management of underlying liver disease is critical to optimize maternal and fetal wellbeing. Early education, timely intervention, close monitoring, and a multidisciplinary approach are key elements required to minimize complications and increase chances of a safe and successful pregnancy. In this review, we focus on the pregnancy-related implications of chronic liver disease and liver transplantation on women of reproductive age and highlight disease-specific management considerations.

Keywords: Chronic liver disease; Cirrhosis; Liver transplantation; Pregnancy.

Publication types

  • Review

MeSH terms

  • Chronic Disease
  • Female
  • Global Health
  • Humans
  • Liver Diseases / epidemiology
  • Liver Diseases / etiology*
  • Liver Transplantation / adverse effects*
  • Postoperative Complications / etiology*
  • Pregnancy
  • Pregnancy Complications*
  • Pregnancy Outcome
  • Prevalence