European Journal of Biomedical and Pharmaceutical Sciences

AETIOLOGY IN PREGNANCIES COMPLICATED BY ACUTE KIDNEY INJURY

*Fatima Zain, Taha Masood and Hira Tanvir

ABSTRACT

Introduction: Acute kidney injury in pregnancy (P-AKI) usually occurs due to obstetrical complications such as septic abortion, abruptio placentae, uterine hemorrhage, intrauterine fetal death (IUD), and puerperal sepsis in women with previous healthy kidneys. Therefore, the main objective of the study is to access the aetiology in pregnancies complicated by acute kidney injury. Material and Methods: This descriptive observational study was conducted in Doctors Hospital and Research Center, Lahore during January 2020 till June 2020. The data was collected from 50 pregnant women who visited the OPD of the hospital regularly. Results: The data was collected from 50 pregnant women. The mean age was 26±6 years. Twenty-eight patients were multigravida, and twenty two were primigravida. Thirty patients did not receive any antenatal care, thirteen (31%) were visited by a traditional birth attendant, and only seven had adequate antenatal care by a gynecologist. Out of 50 patients with obstetric AKI, sixteen patients presented before while 34 presented after 28 weeks of gestation. Conclusion: It is concluded that management of P-AKI is a major clinical challenge because it poses a risk to two lives (mother and fetus). It is largely due to preventable obstetrical complications but can be caused by certain pregnancy-specific diseases.

Keywords: Acute, Pregnancy, Outcomes, Maternal.