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  3. 23.Etiology and Outcome of Pregnancy Related Acute Kidney Injury
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23.Etiology and Outcome of Pregnancy Related Acute Kidney Injury

Zahid Ullah Khan,  Sulaiman, Shabir Ali, Aziz Ur Rahaman, Syed Anwar Hussain and Akbar Khan

ABSTRACT

Objective: Acute kidney injury (AKI) in pregnant women is being studied with the goal of determining its causes and potential consequences. Understanding the causes and prognosis of AKI during pregnancy aims to improve the treatment of this dangerous illness and lower the risk of complications for both the mother and the fetus.

Study Design: A Cross-Sectional Descriptive Study

Place and Duration of Study: This study was conducted at the Miangul Abdul Haq Jahanzeb Kidney Hospital swat from August 2016 to January 2019.

Methods: Women with AKI who were pregnant or had just given birth were included. Information about the participants' clinical results, medical history, and demographics was gathered from medical records.

Results: 85 patients, with a mean age of 30 and a standard deviation of 5.6, who were between the ages of 20 and 41 participated in the study. The leading causes of AKI were antepartum/postpartum hemorrhage (37.6%), disseminated intravascular coagulation (30.6%), puerperal sepsis (17.6%), and pre-eclampsia/HELLP syndrome (8.2%). A large 81.2% of these individuals required renal replacement treatment. Regarding recovery, 53% obtained full renal recovery, 7% partial recovery, 17.6% remained hemodialysis dependent, and 22.4% succumbed to the ailment. These findings underline the severity of AKI in pregnancy and its considerable impact on mother health.

Conclusion: According to the study's findings, maternal morbidity and death are significantly increased in pregnancy-related acute kidney damage (PRAKI), making it a serious consequence. To reduce these risks and enhance the health of the mother and fetus, effective prevention, early detection, and prompt therapy of obstetric problems are essential.

Key Words: Pregnancy-Related AKI, Obstetric Complications, Maternal Health

Citation of article: Khan Z, Sulaiman, Ali S, Rahaman A, Hussain SA, Khan A. Etiology and Outcome of Pregnancy Related Acute Kidney Injury. Med Forum 2023;34(11): . doi:10.60110/medforum.341123.