Doctors at Manipal Hospital Mukundapur successfully managed a rare and high-risk pregnancy in a renal transplant recipient, ensuring the safety of both mother and child while preserving kidney graft function. The multidisciplinary team was led by Dr. Upal Sengupta and Dr. Shilpita Banerjee at Manipal Hospital Mukundapur, part of Manipal Hospitals Group.
The patient, 33-year-old Madhabilata Kundu from Burdwan, had undergone a kidney transplant in December 2023 and was on long-term immunosuppressive therapy when she reported at 16 weeks of pregnancy. Her medical history included a previous caesarean section, miscarriage, hypertension and hypothyroidism. At 21 weeks, she developed graft dysfunction, severe anaemia, rising creatinine, uncontrolled blood pressure and infection, requiring urgent hospitalisation and blood transfusions.
With worsening renal parameters and fetal growth restriction at 28 weeks, doctors performed a planned caesarean at 30 weeks and three days. She delivered a 1.6 kg baby girl, who received 20 days of NICU care before discharge. Post-delivery, the mother required ICU support for three days due to hypertension and urinary infection but later stabilised. In Burdwan, the case has drawn attention to the growing trust among patients from the district in advanced tertiary care facilities in Kolkata for complex transplant and high-risk obstetric management.
