Munna Lal Patel|Rekha Sachan|. Radheshyam|Pushpalata Sachan
Acute renal failure in pregnancy: Tertiary centre experience from north Indian population
King George's Medical University|King George's Medical University|Sanjay Gandhi Post Graduate Institute of Medical Sciences|King George's Medical University
obstetrical acute renal failure arf rare entity developed countries still common occurrence developing countries delay diagnosis late referral associated increased mortality study aimed evaluate contributing factors responsible pregnancyrelated acute kidney failure relation mortality morbidity outcome measures patientstotal 520 patients arf various aetiology admitted 60 115 patients pregnancyrelated acute renal failurearf acute renal failure occurred 32 533 cases early part pregnancy whereas 28 467 cases later pregnancy thirtytwo 533 patients received antenatal visit home delivery 20 334 patients delivered hospitals without antenatal care eight 133 patients received antenatal care delivered hospitals anuria observed 23 383 cases remaining 37 617 cases presented oliguria septicemia present 25 417 hypertensive disorder pregnancy 20 333 haemorrhage eight 133 abortion 5 83 haemolysis elevated liver enzymes low platelets counts hellp syndrome one 167 disseminated intravascular coagulation one 167 617 patients dialyzed 33 55 recovered normal renal function conservative treatment complete recovery observed 45 75 patients five 84 patients developed irreversible renal failure maternal mortality nine 15 foetal loss 25 417pregnancyrelated arf usually consequence obstetric complications carries high morbidity mortality