OBSTETRICAL ACUTE RENAL FAILURE;
Analysis and outcome of patients in tertiary care hospital
DOI:
https://doi.org/10.29309/TPMJ/2013.20.03.706Keywords:
Acute Renal failure,, Obstetrical complication, Irreversible Renal failure.Abstract
Background & Objective: Acute renal failure is one of serious complication in pregnancy, in first trimester is usually
related to unregulated and septic miscarriage while in third trimester it is due to obstetric complications. This prospective case serious
descriptive study was conducted to determine the frequency, etiology and outcome of patients suffering from acute renal failure.
Settings: Department of Gynecology & Obstetric at Liaquat University Hospital Hyderabad. Duration: One year (from 1st June 2011 to
31st May 2012) Patients and Methods: Patients admitted in labor room during antepartum, intrapartum or post partum period were
scrutinized by history, clinical examination, and investigations. Those with urine output less than 50cc in 24hours were defined as case of
ARF. Predesigned proforma filled to analyze etiology and outcome of patients with acute renal failure. Results: Out of 3220 patients
admitted, 35 patients presented with acute renal failure giving incidence of 1.080%. APH(28.57%), PPH(25.7%), P.sepsis (14.28%) and
Hypertensive disorder(5.14%) were leading cause of ARF. 60% patients recovered from injury and mortality in these patients were 11.4%.
Conclusions: Poor health care facilities and lack of quality antenatal healthcare clinics were the major identified causes.
