Acute Renal Failure in Pregnancy

Nk, Krane

doi:10.1001/archinte.1988.00380110013004

Cited by 42 publications

(12 citation statements)

References 98 publications

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“…This is because 21 -30 years of age -group being the reproductive agegroup, more prone to pregnancy related complications and because of early marriage in our country. Krane et al [5] and Harkins et al [6] in their study have mentioned about the bimodal frequency distribution of PR-ARF in relation to periods of gestation. The first peak is seen between 7 and 16 weeks being caused by septic abortion while toxaemias of pregnancy, haemorrhages and puerperal sepsis account for the second peak which is seen between 34 and 36 weeks.…”

Section: Discussionmentioning

confidence: 92%

“…A peak in early pregnancy is associated with infection particularly septic abortion and unskilled abortion while a third trimester peak is associated with late obstetric complications such as pre eclampsia, abruptio placentae, post partum haemorrhage, amniotic fluid embolism and retained dead fetus. [5,6] Apart from non -obstetrical causes, the pregnant females are predisposed to various obstetrical causes of ARF like hyperemesis gravidarum, septic abortion in the first trimester, pre-eclampsia, eclampsia, antepartum haemorrhage in the 2nd half, postpartum haemorrhage, puerperal sepsis, Acute fatty liver of pregnancy and idiopathic post partum renal failure in the later part of the pregnancy. [7] In this study we aim to study the epidemiological profile of acute renal failure in pregnancy: sociodemographic variables and etiological factors and its impact on maternal morbidity.…”

Section: Introductionmentioning

confidence: 99%

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Acute renal failure in pregnancy at a tertiary level hospital in Mumbai: An epidemiological profile

Pandey¹,

Redkar²

2016

AIMDR

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Background: To study the clinical profile of pregnancy related acute renal failure, management and outcome in terms of cure, maternal morbidity and maternal -fetal mortality. Methods: This is a prospective observational study carried out on hospitalized patients in our hospital over a period of fourteen months (August 2007 -September 2008 after approval from the ethical clearance committee. Results: A total of 41 patients, with age ranging between 15 -45 years. The majority of the patients 25 (60.98%) were multigravida and 16 (39.02%) were primigravida. The bimodal frequency pattern were also observed in our study, first between 19 to 24 weeks of gestation and second around 31 to 36 weeks of gestation. The incidence of PR-ARF was about 1 in 270 pregnancies. Sepsis was the commonest cause of PR-ARF (46.34 %) followed by Toxaemia of Pregnancy (31.69%) and Haemorrhage (14.62%). The incidence of septic abortion as a cause of PR-ARF has declined to 7.31%. Oliguria was the commonest symptom (58.53%). Fluid overload was the most common complication encountered (33.33%). Conclusion: Incidence of PR-ARF is still high in our country as compared to western countries. Multigravidas were more commonly affected than primigravidas. Sepsis was the commonest cause of PR-ARF followed by toxaemia of pregnancy and haemorrhage. Maternal and fetal mortality were high , 17.07 % and 2.43 % respectively.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Acute renal failure in pregnancy at a tertiary level hospital in Mumbai: An epidemiological profile

Pandey¹,

Redkar²

2016

AIMDR

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“…[6][7][8][9][10] Another useful tool is renal ultrasound evaluation that besides being simple to perform, safe and economical can be repeated as needed. [10][11][12][13][14] There is currently no standardization in maternal renal biometry, allowing serve as a reference for comparing cutoffs according to gestational age and renal sonographic findings at the time of the evaluation, so that the realization of a renal ultrasound examination arises in pregnancy Normal, in order to set up their tables measures during pregnancy and determine the proper physiological changes of pregnancy and differentiate pathological through renal ultrasonography. There is no national literature, which have been reported studies on renal ultrasonography in pregnant women.…”

Section: Introductionmentioning

confidence: 99%

Renal ultrasound: analysis and use in pregnant

Velasco¹,

Rivera²,

Cabrera³

et al. 2018

IPCB

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Biometrics renal standardizes in the gestating without pathology because there are no local measurements with these parameters during pregnancy in the country. The presence of renal disorders in pregnant women with medical conditions associated is evaluated. A descriptive, prospective and correlational study review. The sample is non-probabilistic type and intentional selection consisting of 198 pregnant patients, consisting of those who attended the consultation ultrasound of Maternal Fetal Medicine Maternity "Concepcion Palacios", which were distributed in a group of 149 pregnant women had no medical pathologies associated, and a B group of 49 pregnant women if presented. A table of percentiles for renal biometry pregnant was developed by gestational age. Ages ranged from 24.2±6, 2 years and 26.2±7.1 years for groups A and B, respectively. Primigestas predominated with 36.2% in group A and 42.8% in the group B. percentiles are calculated and the corresponding tables of renal diameters pregnant were prepared by gestational age. The sonographic findings reveal that diameters of renal morphology in pregnant women without renal disease in each of the trimesters of pregnancy.

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“…[4] During the past 50 years, extensive declines in obstetric acute renal failure occurred in high income countries, referred to improvement in obstetric care and to the legalization of pregnancy terminations and an associated decrease in infections. [5][6][7] However, it is still common during pregnancy in developing countries and being responsible for a high maternal morbidity and mortality rate. In the same line, Susan et al [8] reported that "in spite of the significant reduction of incidence of acute kidney injury in pregnancy over the second half of the 20th century, it is still associated with major maternal and perinatal morbidity and mortality" A set of systemic and renal physiological adaptive mechanisms occur during a normal gestation clarifies the possibility of acquiring acute kidney injury that will oblige several changes in laboratory parameters of renal function, electrolytes, fluid and acid-base balances.…”

Section: Introductionmentioning

confidence: 99%

The risk factors and outcome of early identified acute kidney injury among critically ill obstetric patients

El-Hafez

Mahjoub

Ahmad

2017

IJANS

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Background: Acute kidney injury (AKI) is one of the most challenging and serious complications of pregnancy and postpartum period that facing critical care nurses in Intensive Care Unit (ICU). Having a uniform standard for identifying and classifying AKI would enhance critical care nurses' ability to recognize these patients and leading to better outcomes. Objective: This work aimed to explore the risk factors and outcome of early identified acute kidney injury of critically obstetric patients in Obstetric ICU. Design. A descriptive cross sectional research design was used in this study. Participants: A total sample of 338 women admitted to Obstetric ICU at Woman Health Hospital, Assiut City, Egypt. Method: Three tools were used.Tool I was developed by the researcher and included demographic and obstetric history, lab parameters, complications and outcomes arising from AKI. The Sequential Organ Failure Assessment (SOFA) score as tool II to determine the extent of a patient's organ function or rate of failure. Measurement of serum creatinine and urine output were used to early identify AKI stages according to Acute Kidney Injury Network (AKIN) Criteria (tool III). Results: The prevalence of AKI among obstetric patients admitted to obstetric ICU was 10.1%; of them 52.9% needed renal replacement therapy and the mortality rate was 29.4%. Postpartum hemorrhage was the most common cause of AKI and its prevalence was 41.2%. It was also found that 74.5% of AKI patients developed complications. Conclusion: AKI complicated 10.1% of total admitted women to the OICU in the studied period. Postpartum hemorrhage represents the most prevalent risk factors with a highly significant SOFA score compared to other risk factors as sever preeclampsia, eclampsia, HEELP & APH with acute fatty liver.

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Acute Renal Failure in Pregnancy

Cited by 42 publications

References 98 publications

Acute renal failure in pregnancy at a tertiary level hospital in Mumbai: An epidemiological profile

Acute renal failure in pregnancy at a tertiary level hospital in Mumbai: An epidemiological profile

Renal ultrasound: analysis and use in pregnant

The risk factors and outcome of early identified acute kidney injury among critically ill obstetric patients

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