Aims and objectives: To study association and contributing factors in pregnancy related Acute kidney injury at  tertiary referral hospital, ahmedabad over a period of one and half year

Methods: A prospective study of number of 42  cases of Acute kidney injury complicating pregnancies in 1.5year , were studied and analysed. Etiological factors, associated liver pathology, coagulation abnormality, thrombocytopenia, sepsis, recovery status and feto–maternal outcome were studied and results tabulated.

Observation: The incidence of ARF in pregnancy was found to be 0.30%

Hypertension and its related complications were the most common causative factor.59.5%of cases required  Hemodialysis and except for 6 cases (14.3%) all had complete or at least partial recovery from failure.

Conclusion: AKI complicating pregnancies are not uncommon in tertiary care centres. If recognised and treated promptly recovery is assured in majority of  85.7% of cases. Early identification and prompt management of preeclampsia and sepsis can prevent majority of ARF cases