A study on Acute Renal Failure complicating pregnancies in a tertiary care Hospital, Visakhapatnam: 1 year study
Abstract
BACKGROUND: To study the contributing factors of Acute Renal Failure on pregnancy in King George Hospital, A tertiary referral hospital, during 1 year period, January-2015 to December-2015METHODS: Total cases of Acute Renal Failure complicating pregnancies in 1year (2015), were studied and analysed. Etiological factors, associated liver failure, coagulation failure, thrombocytopenia, sepsis, recovery status and feto-maternal outcome were studied and results tabulated.OBSERVATION: The incidence of ARF in pregnancy is found to be 0.25%.Hypertension and its related complications were the most common. 48% of cases required either Peritoneal Dialysis or Hemodialysis and except for 2cases (5%) all had complete or at least partial recovery from failure.CONCLUSION: ARF complicating pregnancies are not uncommon in tertiary care centres. If recognised and treated promptly recovery is >90% cases. Early identification and prompt management of preeclampsia and sepsis can prevent majority of ARF cases.References
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2. Chug S ,Sakhuja V, Malhotra HS etal. Changing trends in ARF in 3rd world countries.Chandigarh study-J Medical. 1989,272;1117-23
3. Chug S. Etiopathogenesis of PRARF Academy of Medical sciences 1987-23;88-99
4. Prakash J, Tripati K, Pandey LK. Renal cortical necrosis in PRARF. J Ind Medical association 1996,94,227-9
5. Maikranz P, Katz AL, PRARF. Obs.gyn.J. of North Am.1991;18;333-43
6. Beaufils MB; Pregnancy ARF.Clinical nephrology 3rd ed.2005 .1704-28
7. Sivakumar etal , SVIMS Tirupathi J PRARF J.Obs.gyn.India vol 56,no 4 2006 308.310
8. Text book of high risk pregnancy- Fernando Arias-5th edition
9. Text book of pregnancy at risk-jaypee brothers publication 4th edition.
10. Text book of high risk pregnancy-James
Published
2016-06-21
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