Post-partum acute kidney injury

الملخص EN

To determine the risk factors, course of hospital stay and mortality rate among women with post-partum acute kidney injury (AKI), we studied (of 752 patients with AKI admitted to a tertiary care center during the study period between November 2009 and August 2012) 27 (3.59 %) women with post-partum AKI.

The data regarding age, parity, cause of renal failure, course of hospital stay and requirement of dialysis were recorded.

Sepsis was the major cause (70.3 %) of post-partum AKI.

Other causes included disseminated intravascular coagulation (55.5 %), pre-eclampsia/eclampsia (40.7 %), ante- and post-partum hemorrhage (40.7 % and 22.2 %) and hemolytic anemia and elevated liver enzymes and low platelet count syndrome (29.6 %) ; most patients had more than one cause of AKI.

We found a very high prevalence (18.5 %) of cortical necrosis in our study patients.

A significant correlation was also found between the creatinine level on admission and the period of onset of disease after delivery.

In conclusion, several factors are involved in causing post-partum AKI in our population, and sepsis was the most common of them.