Obstetric acute kidney injury a retrospective study
Alakananda, Anupama Hajong
Objective: To study the prevalence, aetiology and prognosis of obstetric acute renal failure (ARF). Methodology: This retrospective study was carried out in International Hospital, Guwahati from January 2002 to December 2009. Forty one (41) cases treated during this period was referred from various centres. Cases were analysed to find out the prevalence, causative factors and prognosis in relation to aetiology, time of referral, and severity of renal failure. Results: Out of 2022 admitted obstetrics patients 41 patients had ARF and were referred for PPH, sepsis, shock or oligo-anuria. Majority (65.85%) patients were in the age group of 20 to 30years. Maximum cases 63.41% developed ARF during post partum period. Incidence was more following LSCS (46.34%) compared to 17.07% following vaginal birth. Aetiology was found to be multifactorial and 76.47% patients recovered with haemodialysis. Mortality rate was (5/41) 12.20%. Prognosis was found to be better in cases of early referral and worse in presence of sepsis. Conclusion: Obstetric ARF a problem of multifactorial aetiology, remains as an important cause of maternal death.