**1. Introduction**

Be a mother is natural desire in female belonging to any community world over. In most cul‐ tures, pregnant women have a special status in society and receive particularly gentle care. At the same time, they are subject to expectations that may exert great psychological pressure, such as having to produce a son and heir, and some societies increase female population to fulfill this demand. Rate of ovulation and thus fertility is decreased in female with end stage renal disease, even if pregnancy occurs in dialysis population, only about 23 % were successful till 1980s (European registry). Whereas, after successful renal transplantation not only fertility rate increases with reemergence of better ovulation, but rate of successful childbirth also in‐ creases to 70- 80 % (Naqvi 2006,Thopmson 2003).

In this chapter, we aim to review the course of pregnancy and its outcome in renal allograft recipients, in backdrop of different social and cultural values, which we face in this part of world.
