To report maternal, obstetric, and neonatal outcomes from the Baylor University Medical Center uterus transplant program.
Key Findings:
31 live births occurred in 27 uterus transplant recipients, with 4 women delivering twins.
Clarify that maternal medical complications were reported in 30% of women who had live births.
Interpretation:
Uterus transplant is a feasible reproductive option for women with uterine-factor infertility, with generally favorable outcomes despite some maternal complications (e.g., gestational diabetes, hypertension) and obstetric complications (e.g., preterm labor).
Limitations:
Findings reflect a single-center experience, limiting generalizability to broader populations and settings.
Access to uterus transplant requires substantial time and resources, which may not be available in all healthcare systems.
Conclusion:
The data support the feasibility of uterus transplant in specialized centers, highlighting the need for ongoing reporting and data sharing to refine risk estimates.
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