CLINICAL PROFILE AND OUTCOME OF ACUTE KIDNEY INJURY RELATED TO PREGNANCY IN A TERTIARY CARE CENTRE IN SOUTHERN TAMILNADU

P. Arun Prasath, G. Chandra Mohan, R. Arul, S. Balamurugan, A. Jegan, J. Prem Geovanni, T. Sethupathi

Abstract


Acute kidney injury is a threatening complication of pregnancy causing serious maternal and fetal morbidity and mortality,common in developing countries.METHODS:A observational study was done between January 2018 to November 2018 to report the incidence,clinical spectrum and maternal&fetal outcome in AKI.RESULTS:Total number of patients 40,Mean age-25.3± 4.3 yrs.The incidence of AKI in  pregnancy was 6%.Incidence of AKI most common in Postpartum period(80%),causes of AKI was Sepsis(40%),HELLP(20%),Postpartum hemorrhage (20%),Abruptio placenta (15%),Acute fatty liver of pregnancy (5%).Among them 80% of patients having preeclampsia as common risk factor.Live births was  80%.Among total pregnancy related AKIs 14  patients were managed conservatively and 26 needed dialysis. recovered patients were (N=38) 95%,and mortality was (N=2)5%.CONCLUSION:AKI in pregnancy commonly occurred in Postpartum period and Sepsis is the most common etiology.

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