Acute kidney injury in late pregnancy in developing countries

Figures & data

TABLE 1.  Main clinical profile of patients (n = 85; study period: August 2006 to August 2008)

Parameters	n	%
Total no. of deliveries	4758	–
Multigravida	53	62.4
*Acute renal failure	85	1.78
Dialysis support	46	54.6**
Hyperkalemia	17	20**
Complete recovery of renal function	59	69.4**
Vaginal delivery	60	70**
Cesarean delivery	25	29.4**
Live birth	52	61.2**
Renal cortical necrosis	2	2.35**

Notes: *Incidence of ARF 1 in 56 births.

**Percentage indicates against the number of ARF in third trimester (n = 85).

TABLE 2.  Etiology of ARF in third trimester of pregnancy (n = 85)

Obstetrical complication	n	%
Preeclampsia/eclampsia/HELLP syndrome	30	35.29
Puerperal sepsis	21	24.70
Intrauterine death	14	16.67
Postpartum hemorrhage	9	10.59
Antepartum hemorrhage: placenta praevia (5), abruptio placentae (2)	7	8.29
Miscellaneous causes	4	4.70

TABLE 3.  Outcome of patients with ARF (n = 85)

Outcome	n	%
Complete recovery	59	69.4
Incomplete recovery but dialysis independent	5	5.88
Dialysis dependent	1	1.17
Death	17	20.0
Lost to follow-up	3	3.53
Renal cortical necrosis	2	2.35