id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-340573-6uz6uw7i	Gleeson, Sarah	Lesson for the clinical nephrologist: Kidney transplant, COVID-19 and pregnancy	2020-11-12		.txt	text/plain	1501	86	48	• This patient's pregnancy was complicated both by her kidney transplant and maintenance immunosuppression and then by COVID-19 infection requiring admission and supplemental oxygen. • Recent emerging infections have had important effects on pregnancy [1] ; both the 2009 H1N1 influenza outbreak and the 2002 severe acute respiratory syndrome (SARS) outbreak caused increased morbidity and mortality in pregnant women compared to the general population, and more recently Zika virus was associated with congenital abnormalities. Studies of kidney transplant recipients with COVID-19 report high rates (62-86%) of immunosuppression reduction (both CNIs and antiproliferative agents) especially in hospitalised or severely ill patients [5, 6] . However, The Royal College of Obstetricians and Gynaecologists' guidelines on managing pregnancy during the COVID-19 pandemic suggest that although women with kidney transplants should ideally shield, they will need regular face-to-face visits to monitor graft function, drug levels and maternal/fetal complications [8] .	./cache/cord-340573-6uz6uw7i.txt	./txt/cord-340573-6uz6uw7i.txt