Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Dec 20:2013:109034.
doi: 10.5402/2013/109034. eCollection 2013.

Pregnancy-related acute kidney injury: experience of the nephrology unit at the university hospital of fez, morocco

Mohamed Arrayhani  1 , Randa El Youbi  2 , Tarik Sqalli  1
Affiliations

Pregnancy-related acute kidney injury: experience of the nephrology unit at the university hospital of fez, morocco

Mohamed Arrayhani et al. ISRN Nephrol. .

Abstract

Introduction. Acute kidney injury (PRAKI) continues to be common in developing countries. The aim of this paper is to study AKI characteristics in pregnancy and identify the factors related to the unfavorable evolution. Methods. This prospective study was conducted in the University Hospital Hassan II of Fez, Morocco, from February 01, 2011 to January 31, 2012. All patients presenting PRAKI were included. Results. 37 cases of PRAKI were listed. Their ages varied from 20 to 41 years old, with an average of 29.03 ± 6.3 years and an average parity of 1.83. High blood pressure was the most common symptom (55.6%). Thirty-nine percent were oliguric. PRAKI occurred during the 3rd trimester in 66.6% of the cases and 25% of the cases in the postpartum. Hemodialysis was necessary in 16.2% of cases. The main causes were preeclampsia, hemorrhagic shocks, and functional, respectively, in 66.6%, 25%, and 8.3% of the cases. The outcome was favorable, with a complete renal function recovery for 28 patients. Poor prognosis was related to two factors: age over 38 years and advanced stage of AKI according to RIFLE classification. Conclusion. Prevention of PRAKI requires an improvement of the sanitary infrastructures with the implementation of an obligatory prenatal consultation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Age distribution in PRAKI patients.
Figure 2
Figure 2
Gestational period at the discovery of ARF.
See this image and copyright information in PMC

References

    1. Kumar KS, Krishna CR, Kuma VS. Pregnancy related acute renal failure. Journal of Obstetrics & Ganecology of India. 2006;56(4):308–310.
    1. Goplan KR, Gero DN, et al. Pregnany related acute renal failure: a single center experience. Indian Journal of Nephrology. 2008;18(1):17–21. - PMC - PubMed
    1. Rani PU, Narayen G. Anuradha. Changing trends in pregnancy related acute renal failure. Journal of Obstetrics & Ganecology of India. 2002;52:36–38.
    1. Beaufils MB. Pregnancy. In: Davidson AM, Cameron JS, Grunfeld JP, et al., editors. Clinical Nephrology. 3rd edition. New York, NY, USA: Oxford University Press; 2005. pp. 1704–1728.
    1. Prakash J, Tripathi K, Pandey LK, Gadela SR, Usha Renal cortical necrosis in pregnancy-related acute renal failure. Journal of the Indian Medical Association. 1996;94(6):227–229. - PubMed

LinkOut - more resources