A retrospective analysis of outcome of pregnancy with acute renal failure during a period of one year at Geetanjali medical college and hospitals, Udaipur, Rajasthan, India

Verma, Anjana; Sharma, Manu

doi:10.18203/2320-1770.ijrcog20160873

Cited by 4 publications

(9 citation statements)

References 7 publications

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“…7 Similarly, Verma et al conducted a study in GMCH, Udaipur, Rajasthan, India, and the incidence of pregnancy-related AKI was 5.8% among all patients with acute renal failure. 8 In contrast to our study, the incidence was low about 0.81% in a retrospective study conducted by Huang and Chen in Zhangzhou Affiliated Hospital of Fujian Medical University. 9 The mean age of the patients with AKI in our study was 26.11 ± 6.2 years.…”

Section: Discussioncontrasting

confidence: 95%

“…The most common etiological factor for the development of AKI in our study was hypertension complicating pregnancy which was also the same in the study conducted by Verma et al 8 Hypertension was the commonest cause in 75% of cases in a study conducted by Kabbali et al 11 Huang and Chen also found preeclampsia/ eclampsia as the common etiological factor for the occurrence of AKI in pregnancy. 9 However, Najar et al found septic abortion as the commonest cause for AKI.…”

Section: Discussionsupporting

confidence: 88%

“…In our study, 82.14% of the patients had been presented with the features of AKI in the postpartum period. Similarly, 93.33% of the patients had been presented in the late pregnancy and puerperium in a study conducted by Verma et al 8 Kabbali et al also concluded that a majority of the patients in their study were in the postpartum period. 11 Sixty percent of the patients were in the postpartum period at the time of occurrence of AKI in a study conducted by Mahesh et al in MS Ramaiah Medical College, Bengaluru, India.…”

Section: Discussionmentioning

confidence: 85%

“…9 The mean age of the patients with AKI in our study was 26.11 ± 6.2 years. In a study by Verma et al, 8 the mean age was 29.33 ± 5.31 years, 25.23 ± 3.8 years in a study by Paudyal et al, 7 and Arrayhani et al 10 found the mean age to be 29.03 ± 6.3 years in their prospective study conducted in the University Hospital Hassan II of Fez, Morocco, from February 01, 2011, to January 31, 2012. The mean age was almost the same in all related studies.…”

Section: Discussionmentioning

confidence: 91%

“…In another study by Verma et al, 28.57% patients had cesarean section and 71.4% had vaginal delivery. 8 Kabbali et al 11 and Paudyal et al 7 reported the rate for cesarean section as high as 68% and 66%, respectively.…”

Section: Discussionmentioning

confidence: 98%

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Pregnancy-related Acute Kidney Injury

Thakur¹,

Basnet²,

Pandey³

2019

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim: Acute kidney injury (AKI) is a rapid loss of kidney function. The proposed diagnostic criterion for AKI is an abrupt (within 48 hours) reduction in kidney function defined as an absolute increase in serum creatinine (level of >0.3 mg/dL) or a percentage increase in serum creatinine level of more than 50% (1.5 fold from baseline) or reduction in urine output (documented oliguria of less than 0.5 mL/kg per hour for more than 6 hours). The aim of this study is to determine the clinical spectrum of pregnancy-related AKI and the maternal outcome. Materials and methods: This is a descriptive study conducted in the Department of Obstetrics and Gynaecology from January to December 2015. Patients admitted with pregnancy-related AKI kidney injury were enrolled. The exclusion criteria were evidence of renal disease, hypertension, or diabetes prior to pregnancy, renal stone disease, renal scarring, or small size kidneys on ultrasonography (USG). Acute kidney injury was diagnosed according to the standard definition. The maternal outcome was noted in terms of complete recovery, partial recovery, or irreversible renal failure. Results: Twenty-eight patients were admitted with AKI. The mean age was 26.11 ± 6.2 years. One patient had antenatal checkup done at BP Koirala Institute of Health Sciences (BPKIHS). Acute kidney injury was diagnosed in the postpartum period in 24 (85.71%) patients. Fifteen (62.5%) patients had cesarean section and 9 (37.5%) had vaginal delivery. Out of 24 patients, 14 (58.3%) had delivered at BPKIHS and 10 (41.66%) at other health facilities. The most common diagnosis was hypertension complicating pregnancy (42.9%). Ten (35.7%) patients required dialysis. Blood transfusion was required in 18 (64.3%) patients. Ten (35.7%) patients required admission in the maternal intensive care unit (ICU). Complete recovery was seen in 25 (89.3%) patients and 3 (10.7%) patients expired. Conclusion: Pregnancy-related AKI can be prevented by improving the existing healthcare facilities as well as increasing public health awareness.

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Section: Discussioncontrasting

confidence: 95%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 98%

See 3 more Smart Citations

Pregnancy-related Acute Kidney Injury

Thakur¹,

Basnet²,

Pandey³

2019

Journal of South Asian Federation of Obstetrics and Gynaecology

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Impact of Pregancy Related Acute Kidney Injury in Maternal Health in Central India- A Case Series

Gupta

Jamra

Porwal(Bagul)

2022

Global Journal for Research Analysis

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Many pregnancies associated diseases are adding to the development of Pregnancy Related Acute Kidney Injury (PR-AKI) like Pre-Eclampsia/Eclampsia (PE/E), HELLP Syndrome, Antepartum/Postpartum Hemorrhage (APH/PPH) and Pregnancy Associated Thrombotic Microangiopathy (P-TMA) are common. Puerperal sepsis, septic abortion, Pre-Eclampsia/Eclampsia, HELLP Syndrome, Antepartum and Postpartum Hemorrhage are common risk factors for PR-AKI development. PR-AKI patients have adverse impact on the maternal health and may leads to development of CKD even death.

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