{"doi":"10.1111/ctr.70047","title":"Family Planning Counseling and Practices in Kidney Transplant Recipients","abstract":"INTRODUCTION: Half of all female kidney transplant (KT) recipients are reproductive-aged, though data on reproductive practices and counseling are limited. METHODS: This cross-sectional survey evaluated patient experiences, practices, and preferences surrounding contraception and pregnancy in female KT patients (listed or post-transplant) ages 14-45 years. RESULTS: A total of 152/682 eligible participants (22%; 50 pre- and 102 post-KT) completed the survey with 26% unaware at the time of KT that future pregnancy was possible. The majority (72%) of sexually active patients used contraception during the first year post-KT, though 24% exclusively used high failure-rate methods. Less than half (48%) felt their pre-KT reproductive counseling was adequate to guide decision-making, although 63% reported satisfaction with post-KT counseling. Discussions with transplant providers were the single most favored counseling modality at 74%. Misconceptions of intrauterine device safety and efficacy were identified. CONCLUSION: Reproductive counseling commonly occurred, although information was inadequate for guiding pregnancy and contraceptive decisions in most pre-KT patients. Misconceptions about pregnancy potential and contraceptive efficacy and safety were common, as well as patient reliance on high-failure contraceptive methods. Improving patient knowledge and access to contraception and pregnancy planning is essential for honoring patients' reproductive wishes while lowering obstetric, graft, and perinatal risks in post-KT pregnancies.","journal":"Clinical Transplantation","year":2024,"id":472620,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7963,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1308514,"name":"Julia Ritchie","orcid":null,"position":1,"is_corresponding":false},{"id":446286,"name":"Dominika Seidman","orcid":null,"position":2,"is_corresponding":false},{"id":277497,"name":"Emily R. Perito","orcid":"0000-0002-2911-9684","position":3,"is_corresponding":false},{"id":896445,"name":"Deborah Adey","orcid":"0000-0001-9090-9135","position":4,"is_corresponding":false},{"id":253577,"name":"Monika Sarkar","orcid":"0000-0003-4233-1062","position":5,"is_corresponding":false},{"id":1308513,"name":"Swathi Rajagopal","orcid":null,"position":0,"is_corresponding":true}],"reference_count":17,"raw_metadata":null,"created_at":"2026-07-19T02:05:57.032095Z","pmid":"39624937","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}