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Table 2 Description and outcomes of pregnancies fathered by male kidney transplant patients

From: Paternity in male kidney transplant recipients: a French national survey, the PATeRNAL study

Covariate

All pregnancies

n = 404

First pregnancy

n = 245

Second pregnancy

n = 115

Third pregnancy

n = 35

Fourth pregnancy

n = 9

Age, median (IQR), years

41 (36–48)

41 (36–48)

42 (37–48)

43 (37.5–49)

48 (44–52)

Age at conception, median (IQR), years

34 (30–37)

33 (21–36)

35 (31–39)

37 (34–40)

41 (40–44)

Year of first transplantation, median (IQR)

2006 (1999–2010)

2006 (1999–2010)

2006 (1996–2008)

2005 (1994–2007)

1994 (1986–2002)

Transplant to conception time in years, median (IQR)

5 (2–8)

4 (1.5–7)

7 (4–10)

8 (6–11)

16 (13–19)

Immunosuppressive co-medication at the time of conceptiona

 Corticosteroids

298 (74%, [69–78])

176 (72%, [66–77])

84 (73%, [64–81])

29 (83%, [66–93])

9 (100%, [66–100])

 Azathioprine

59 (15%, [11–18])

44 (18%, [13–23])

13 (11%, [6–19])

1 (3%, [0.7–15])

1 (11%, [0.3–50])

 MMF/MPA

313 (77%, [73–81])

190 (78%, [72–83])

92 (80%, [72–87])

26 (74%, [57–88])

5 (56%, [21–86])

 Tacrolimus

255 (63%, [58–68])

156 (64%, [57–70])

70 (61%, [51–70])

22 (63%, [45–79])

7 (78%, [40–97])

 Cyclosporine

152 (38%, [33–43])

94 (38%, [32–45])

43 (37%, [29–47])

13 (37%, [21–55])

2 (22%, [3–60])

 Everolimus

5 (1%, [0.5–3])

3 (1%, [0.3–4])

2 (2%, [0.2–6])

0 (0%, [0–10])

0 (0%, [0–33])

 Sirolimus

7 (2%, [1–4])

5 (2%, [0.7–5])

2 (2%, [0.2–6])

0 (0%, [0–10])

0 (0%, [0–33])

 Belatacept

6 (1%, [0.5–3])

4 (2%, [0.4–4])

1 (1%, [0.1–5])

1 (3%, [0.7–15])

0 (0%, [0–33])

 Otherb

40 (10%, [7–13])

18 (7%, [4–11])

16 (14%, [8–22])

5 (14%, [5–30])

1 (11%, [0.3–50])

Rejection episode before or during pregnancy

80 (20%, [16–24])

40 (16%, [12–22])

29 (25%, [18–34])

8 (23%, [10–40])

3 (33%, [7–70])

Pregnancy outcomes

 Live births, including 6 twin pregnancies

349 (86%, [83–90])

222 (91%, [86–94])

94 (82%, [73–88])

26 (74%, [57–88])

7 (78%, [40–97])

 Twin pregnancy

7 (2%, [0.5–3])

5 (2%, [0.7–5])

1 (1%, [0.1–5])c

1 (3%, [0.7–15])

0 (0%, [0–33])

 Spontaneous abortion

37 (9%, [7–12])

18 (7%, [4–11])

14 (12%, [7–20])

4 (11%, [3–27])

1 (11%, [0.3–50])

 Therapeutic abortion

12 (3%, [2–5])

6 (2%, [0.9–5])

2 (2%, [0.2–6])

3 (9%, [2–23])

1 (11%, [0.3–50])

 Still births

2 (0.5%, [0.1–1])

0 (0%, [0–0.1])

0 (0%, [0–3])

2 (6%, [1–19])

0 (0%, [0–33])

 Ongoing pregnancy

10 (2%, [1–5])

4 (2%, [0.4–4])

5 (4%, [1–10])

1 (3%, [0.7–15])

0 (0%, [0–33])

Live births, including twin pregnancies

349

222

94

26

7

 Gestational age in weeks, median (IQR)

41 (39–41)

41 (38–41)

41 (39–41)

41 (39–41)

41 (39–41)

 Pre-term delivery (< 37 weeks)

30 (9%, [6–12])

23 (10%, [7–15])

5 (5%, [2–12])

2 (8%, [1–25])

0 (0%, [0–41])

 Birthweight (Kg), median (IQR)

3.4 (3–3.7)

3.3 (3–3.7)

3.4 (3–3.8)

3.5 (3–3.6)

3.5 (3.2–3.8)

 Low birthweight (< 2.5 Kg)

20 (6%, [4–9])

16 (7%, [4–11])

3 (3%, [1–9])

1 (4%, [0.1–20])

0 (0%, [0–41])

 Sex (male)

193 (55%, [50–61])

127 (57%, [50–64])

47 (50%, [40–60])

16 (62%, [41–80])

3 (43%, [10–82])

 Intellectual disability

3 (1%, [0.2–3])

3 (1%, [0.3–4])

0 (0%, [0–4])

0 (%, [0–13])

0 (0%, [0–41])

 Congenital malformation

13 (4%, [2–6])

10 (5%, [2–8])

3 (3%, [1–9])

0 (%, [0–13])

0 (0%, [0–41])

  1. Values are presented as numbers and percentages [95% CI] unless otherwise specified
  2. IQR interquartile range, MMF/MPA mycophenolate mofetil/mycophenolic acid, Kg Kilograms
  3. a Immunosuppressive agents of the father at the time of conception, more than one co-medication possible
  4. b Other: Immunosuppression including one of the following treatment before or at the time of conception: Cyclophosphamide, Intravenous immunoglobulin, Plasma exchange, Rituximab
  5. c The twin pregnancy was still ongoing at the time of the study