RENAL OUTCOME OF PREGNANCY ASSOCIATED ACUTE KIDNEY INJURY NEEDED HEMODIALYSIS

DR SOURAV GHOSH; PROF. (DR) PINAKI MUKHOPADHYAY; PROF. (DR) RUNA BAL

Volume : IX, Issue : V, May - 2019

RENAL OUTCOME OF PREGNANCY ASSOCIATED ACUTE KIDNEY INJURY NEEDED HEMODIALYSIS

Dr Sourav Ghosh, Prof. Dr Pinaki Mukhopadhyay, Prof. Dr Runa Bal

Abstract :

Background: Pregnancy–related acute kidney injury (PAKI) is associated with significant morbidity and mortality in young and often otherwise healthy women. Proper management helps to recover many cases whereas PAKI leads to chronic kidney disease and dialysis dependent in some patients . Materials and methods: 53 cases of pregnancy associated acute kidney injury who received atleast one session of hemodialysis was selected and followed up at 2 weeks,3 month,and 6 month. Results: Oligoanuria is the most common presenting features(73.5%).sepsis is the most common etiology(40%). single session hemodialysis receivers showed higher mortality than who received multiple session. The study shows high mortality rate among “Failure” group .(p=0.02).one kidney biopsy was performed and shows acute renal cortical necrosis.15% cases shows progression to chronic kidney disease. Conclusions: Although the PAKI is infrequent it can lead to significant mortality and morbidity.