Home About us Current issue Back issues Submission Instructions Advertise Contact Login   

Search Article 
  
Advanced search 
 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 969 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 

RENAL DATA FROM THE ARAB WORLD Table of Contents   
Year : 2015  |  Volume : 26  |  Issue : 3  |  Page : 619-624
Outcome assessment of pregnancy-related acute kidney injury in Morocco: A national prospective study


1 Nephrology Department, Hassan II University Hospital, Fez, Morocco
2 Epidemiology Department, Faculty of Medicine and Pharmacy, Hassan II University Hospital, Fez, Morocco
3 Intensive Care Unit, Hassan II University Hospital, Fez, Morocco
4 Nephrology Department, Mohammed V Hospital, Tangier, Morocco
5 Nephrology Department, Mohammed VI University Hospital, Oujda, Morocco
6 Nephrology Department, Mohammed VI University Hospital, Marrakech, Morocco
7 Nephrology Department, Ibn Rochd University Hospital, Casablanca, Morocco
8 Nephrology Department, Ibn Sina University Hospital, Rabat, Morocco
9 Nephrology Department, Mohammed V Military Hospital, Rabat, Morocco

Correspondence Address:
Dr. Nadia Kabbali
Nephrology Department, Hassan II University Hospital, Fez
Morocco
Login to access the Email id


DOI: 10.4103/1319-2442.157426

PMID: 26022044

Rights and Permissions

Acute kidney injury (AKI) is a rare but life-threatening complication of pregnancy. The aim of this paper is to study the characteristics of acute AKI in pregnancy and to emphasize on its management modalities in Moroccan hospitals. This is a national prospective study performed over six months from July 1 to December 31 2010 on AKI developing in pregnant patients, both preand post-partum period. Patients with pre-existing kidney disease were excluded from the study. Outcome was considered unfavorable when complete recovery of renal function was not achieved and/or maternal death occurred. Forty-four patients were included in this study. They were 29.6 ± 6 years old and mostly illiterate (70.6%). Most AKI occurred in the post-partum period, with 66% of the cases occurring in those who did not receive antenatal care. The main etiologies were pre-eclampsia (28 cases), hemorrhagic shock (six cases) and septic events (five cases). We noted three cases of acute fatty liver, one case of obstructive kidney injury and one case of lupus nephritis. Hemodialysis was necessary in 17 (38.6%) cases. The outcome was favorable in 29 patients. The maternal mortality rate was 11.4%. Two poor prognostic factors were identified: Age over 38 years and sepsis. AKI is a severe complication of pregnancy in developing countries. Its prevention necessitates the improvement of the sanitary infrastructure and the establishment of the obligatory antenatal care.


[FULL TEXT] [PDF]*
Print this article  Email this article
    

  Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Citation Manager
  Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3151    
    Printed16    
    Emailed0    
    PDF Downloaded565    
    Comments [Add]    

Recommend this journal