Pregnancy Related Acute Renal Failure in A Tertiary Care Hospital.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction: The incidence of pregnancy related acute renal failure (PRARF) has declined over the past few years. The objective of the study was to determine the prevalence, clinical profile, management and outcome of patients with pregnancy related acute renal failure. Material & Methods: The present study was based on the retrospective analysis of hospital case records of Government General Hospital, Guntur Medical College, Guntur. It was intended to bring out the profile of the pregnancy related acute renal failure (PR-ARF) cases in pregnancy admitted in the hospital from 2010 to 2018. Pregnant women who had developed acute renal failure with oliguria (urine output <400ml in 24 hours and serum creatinine >1.5 mg/dL. Results: Out of the 5788 admissions, 2236 admitted cases were due to Acute Renal Failure (ARF). the prevalence of PRARF in the present study was 11.09%(n=248). The most common cause of PRARF was toxemias of pregnancy seen in more than one third cases (37.1%). Out of the total 248 cases, majority (64.1%, n=159) were treated on hemodialysis and rest 89 cases (35.9%) were managed conservatively with complete recovery in 91.1% (n=226). Conclusions: Though the prevalence of pregnancy related ARF has been declining over the years, but the present 9 years hospital based retrospective study found a higher prevalence of 11.09% with toxemias in pregnancy being the most common cause.
Authors and Affiliations
Dr. Gondi Siva Rama Krishna, Dr. Degala Vani
Keywords
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- EP ID EP573730
- DOI 10.9790/0853-1804112730.
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