Predictive Factors for Hemodialysis Requirement in Postpartum Acute Kidney Injury
Abstract:
Acute kidney injury (AKI) remains a serious and potentially life-threatening complication of pregnancy. While it can occur at any stage of the gravido-puerperal period, its occurrence during the postpartum period is particularly alarming due to its association with severe maternal morbidity and mortality. In high-income countries, postpartum AKI is relatively rare, thanks to improved antenatal and obstetric care. However, its incidence remains high in low-resource settings where access to timely and appropriate care is often limited.
KeyWords:
post partum , acute kidney injury , hemodialysis
References:
- Goplani KR, Shah PR, Gera DN, Gumber M, Dabhi M, Feroz A, et al. Pregnancy-related acute renal failure: A single-center experience. Indian J Nephrol. 2008;18(1):17–21.
- Liu Y, Ma X, Zheng J, Zhang L, Liu Y, Duan L, et al. Pregnancy-related acute kidney injury: Experience from a tertiary care center in China. Ren Fail. 2018;40(1):140–5.
- Rana S, Lemoine E, Granger JP, Karumanchi SA. Preeclampsia: Pathophysiology, challenges, and perspectives. Circ Res. 2019;124(7):1094–1112.
- Mehrabadi A, Liu S, Bartholomew S, Hutcheon JA, Kramer MS, Liston RM, et al. Temporal trends in incidence and outcomes of pregnancy-associated acute kidney injury in Canada: A population-based cohort study. J Matern Fetal Neonatal Med. 2020;33(6):1003–9.
- Bateman BT, Bansil P, Hernandez-Diaz S, Mhyre JM, Callaghan WM, Kuklina EV. Prevalence, trends, and outcomes of pregnancy-related acute renal failure in the United States, 1999 to 2010. Obstet Gynecol. 2013;122(4):715–21.
- Gulati A, Sinha A, Gupta A, Bhowmik D, Mahajan S, Bagga A. Spectrum of postpartum acute kidney injury in Indian women. J Obstet Gynaecol Res. 2015;41(4):597–602.
- Meena SL, Yadav A, Sharma RK, Kumar A, Yadav B, Goyal R, et al. Acute renal failure during pregnancy in India: A hospital-based study. Saudi J Kidney Dis Transpl. 2008;19(3):365–70.
- Burrows RF, Burrows EA. Pregnancy-related acute renal failure. Am J Kidney Dis. 1995;26(3):379–85.
- Wiles K, Chappell L, Clark K, Elman L, Hall M, Lightstone L, et al. Clinical practice guideline on pregnancy and renal disease. BMC Nephrol. 2019;20:401.
- Prakash J, Singh AK, Pandey LK, Kar B, Ghosh B, Singh U. Maternal and fetal outcomes in pregnancy-related acute renal failure in tertiary care center. Saudi J Kidney Dis Transpl. 2010;21(5):895–900.
- Naicker S, Rahmanian S, Kopp JB. Acute kidney injury in pregnancy. Kidney Int. 2019;95(2):278–88.
- Ahmed SB, Davison JM. Pregnancy and the kidney. J Am Soc Nephrol. 2020;31(11):2572–81.