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[Correspondence] Livebirth after uterus transplantation

We commend Mats Brännström and colleagues (Feb 14, 607)1 for the first livebirth after uterus transplantation. However, birth at 32 weeks’ gestation, albeit unprecedented in this circumstance, is not without risks to the newborn, as is the development of pre-eclampsia, which prompted the premature delivery. Pre-eclampsia is a hypertensive disorder of pregnancy mediated through systemic endothelial dysfunction, which is associated with maternal, fetal, and neonatal risks. Brännström and colleagues list the possible causes, including donor age (61 years), single kidney in the recipient, use of immunosuppression, and in-vitro fertilisation.