Brain dead donor organ transplant recipient gives birth in Japan first
OSAKA -- A woman who received a pancreas and kidneys from a brain-dead donor in 2007 gave birth to a baby boy here on the evening of Oct. 13, making her the first such organ recipient to have a child in Japan.Both mother, who is in her 40s, and child are in good condition following the birth by Caesarean section, according to Osaka University Hospital.
"I want to deeply thank the donor's family. If I hadn't had the transplant, my new life would never have happened," the woman was quoted as saying. She is scheduled to be released from hospital on Oct. 21.
According to Osaka University professor Toshinori Ito, who was the attending physician for the woman's 2007 transplant operation, she had been on dialysis since about the age of 20 due to type 1 diabetes, and registered with the transplant network in 2000. In hopes of having a child after her transplant, in 2009 she began taking a type of immunosuppressant drug that would allow conception. The woman conceived twice, with the first pregnancy failing.
A pregnant woman's kidneys must filter urine produced by the fetus out of her blood, putting added pressure on the organs. This means women with renal failure or other severe kidney conditions usually cannot support a fetus in the womb even if they conceive, according to the deputy head of the hospital's transplant unit Norihide Fukushima, making the woman's successful pregnancy all the more remarkable.
"The life received from the donor is tied to yet another new life, all because of the transplant," says Michikata Okubo, chairman of the Japan Transplant Recipients Organization. "This is a truly amazing product of transplant medicine. I think it's excellent."
脳死移植：レシピエントの４０代女性が出産 阪大病院
大阪大病院は１３日、０７年に脳死者から提供された膵臓（すいぞう）と腎臓の移植を同時に受けた大阪府内の４０代女性が同日夕方、出産したと発表した。国内で行われた脳死移植のレシピエント（臓器提供を受けた人）が出産したのは全国で初めて。生まれたのは男の子で体重２８８２グラム。母子ともに健康という。
移植時の主治医、伊藤寿記（としのり）教授らによると、女性は元々１型糖尿病で２０歳ごろから透析を受け、００年に臓器移植ネットワークに登録した。０７年に臓器提供を受けた後妊娠を強く望んだため、０９年から妊娠に適したタイプの免疫抑制剤の投与を受けていた。２度目の自然妊娠で、帝王切開を受けて出産した。
「ドナーの家族に感謝したい。（提供が）なければ新しい生命の誕生もなかった」と喜んでいたという。予定通りなら２１日ごろに退院できる。
移植医療部の福嶌教偉（ふくしまのりひで）副部長によると、妊娠した女性の腎臓は、胎児の出す尿のろ過をする役割も果たすため、腎不全などの重い腎臓病患者は妊娠しても胎内で子供を育てることができないという。
ＮＰＯ法人「日本移植者協議会」（事務局・大阪市北区）の大久保通方（みちかた）理事長は「移植したからこそ、ドナーから頂いた命が次の新しい命につながった。移植医療の素晴らしい成果で、良いことだと思う」と評価した。【林田七恵、曽根田和久】
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