Editor's Pick Original Investigation

Pregnancy Outcomes After Living Kidney Donation

JAMA 10.1001/jama.2026.21737

October 22, 2026 at 7:15 PM EDT

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A Canadian matched cohort study of 385 pregnancies among 252 living kidney donors in Ontario, British Columbia, and Alberta, and 1,540 matched pregnancies among nondonors, found that pregnancy after kidney donation was associated with a higher risk of gestational hypertension, preeclampsia, or eclampsia (11.9% vs 8.3%). Donor pregnancies were also more likely to result in infants who were small for gestational age (13.8% vs 7.9%). Most pregnancies after kidney donation did not have serious complications.

MEETING INFORMATION:

This paper has a simultaneous meeting presentation at Kidney Week 2026.

Corresponding Author: Amit X. Garg, MD, PhD, London Health Sciences Centre, 800 Commissioners Rd E, ELL-108, London, ON N6A 5W9, Canada (amit.garg@lhsc.on.ca).

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