A Study of Acute Kidney Injury in the Pregnant Patient –Our experience at Rural centre
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 6
Abstract
Pregnancy-related acute kidney injury (PR-AKI) causes significant maternal and fetal morbidity and mortality. Management of PR-AKI warrants a thorough understanding of the physiologic adaptations in the kidney and the urinary tract. Categorization of etiologies of PR-AKI is similar to that of acute kidney injury (AKI) in the nonpregnant population. The causes differ between developed and developing countries, with thrombotic microangiopathies (TMAs) being common in the former and septic abortion and puerperal sepsis in the latter. The incidence of PR-AKI is reported to be on a decline, but there is no consensus on the exact definition of the condition. The physiologic changes in pregnancy make diagnosis of PR-AKI difficult. Timely and correct diagnosis is essential for better maternal and fetal outcomes and treatment of underlying conditions such as sepsis, preeclampsia, and TMAs result in better outcomes. We present here our experience with PRAKI from rural tertiary care centrein western UP.
Authors and Affiliations
Khwaja Saifullah Zafar
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