Postpartum acute kidney injury: a review of 99 cases

Figures & data

Table 1. Postpartum AKI (n = 99)

Parameters	N	%^a
Age (years)
Median (IQR) – 23.0 (23.0, 28.0)
15–20	12	12
21–25	40	40
26–30	30	30
31–35	17	17
Order of pregnancy
Primigravida	52	52
Multigravida	47	48
Antenatal Care
Received	91	92
Did not receive	8	8
Institutional Delivery/Abortion	89	90

Note: ^aPercentages have been rounded off to the nearest two digit number.

Table 2. Renal parameters during hospitalization (n = 99).

Parameters	Value
Mean serum creatinine (mg/dl)	4.1
RIFLE category n(%)
Risk	23 (23%)
Injury	31 (31%)
Failure	33 (33%)
Loss	09 (10%)
ESRD	03 (3%)
Conservative treatment n(%)	60 (61%)
Renal replacement therapy n(%)	39 (39%)
HD/SLED	29
PD	6
CRRT	4

Table 3. Causes of AKI (multifactorial).

Parameters	Number
Sepsis	74 (75%)
Puerperal sepsis	60
Urinary tract infections	6
Mastitis, pneumonia	2 each
Septic thrombophlebiitis	1
Necrotizing fascitis	1
H1N1	1
Mucormycosis	1
DIC	39 (39%)
PPH	12 (12%)
Preeclampsia with HELLP	08 (8%)
SLE	01 (1%)
Transfusion reactions	01 (1%)
HUS	01 (1%)
Isolated postpartum PIH	01 (1%)

Table 4. Patient and renal outcomes* (n = 95).

Parameters	Number
Maternal mortality	18 (19%)
Sepsis	17
PPH	1
Mortality in AKI-conservative management	6
Mortality in AKI-RRT	12
Mortality as per RIFLE category:  n(% of n within each category)
Risk	03 (13%)
Injury	05 (16%)
Failure	8 (24%)
Loss	2 (22%)
ESRD	0 (0%)
Fetal mortality	14 (22%)
Death-censored renal outcomes (n = 77)
Complete recovery	69 (86%)
Partial recovery^a	5
ESRD^a	3

Notes: *Four patients left against medical advise.

a Partial cortical necrosis: 5, Complete cortical necrosis: 3.

Table 5. Statistical analysis of RRT versus conservative management.

	Yes	No	Total
RRT	12	27	39
Conservative management	6	54	60
Chi = 6.85, p = 0.0088.