Affiliation:
1. Department of Obsterics and Gynaecology, PGIMER, Chandigarh, India
Abstract
Purpose Haemorrhage, preeclampsia and sepsis are the leading causes renal dysfunction in women with a maternal nearmiss(MNM) complication. The study aimed to assess the prevalence, pattern and follow up of these women. Methods This was a hospital based prospective observational study, conducted over one year. All women with a MNM leading to acute kidney injury (AKI) were analysed for fetomaternal outcomes and renal function at 1 year of followup. Results Incidence of MNM was 43.04 per 1000 livebirths. 18.2% women developed AKI. 51.1% women developed AKI in the puerperal period. Most common cause of AKI was haemorrhage seen in 38.3% women. Majority of women had s.creatinine between 2.1 to 5 mg/dl and 44.68% required dialysis. 80.8% women recovered fully when the treatment was initiated within 24 h. One patient underwent renal transplant. Conclusion Early diagnosis and treatment of AKI results in full recovery.
Subject
Obstetrics and Gynecology
Reference15 articles.
1. Maternal near miss review. Operational guidelines. December 2014.
2. The Outcome of Septic Abortion: A Tertiary Care Hospital Experience
3. WHO. Evaluating the quality of care for severe pregnancy complications. The WHO near-miss approach for maternal health. 2011.
4. KDIGO Clinical Practice Guidelines for Acute Kidney Injury