Immunosuppressants Pose Challenge in Pregnancy : Balancing immunosuppression with the health of the woman and fetus requires team approach.

Responses varied widely concerning the safety in pregnancy of newer immunosuppressants, such as rapamycin and mycophenolate mofetil.

High-risk obstetricians most commonly managed the pregnancies of transplant recipients, making up 85% of the physicians caring for these patients. Most respondents preferred going ahead with vaginal deliveries, although one-quarter of them recommended cesarean section for these patients.

Two-thirds of respondents advised their patients not to breast-feed.