Acute Renal Problems Still a Great Challenge in Obstetrics

Objective: To assess the early risk factors and outcomes of the patients presented with acute renal issues, at tertiary care Hospital.

Methodology: This descriptive study was conducted at gynaecology and obstetrics department of Liaquat University of medical and health Sciences. Study duration was six months from June 2019 to November 2019. Women having age more than 18 years, developed renal impairment as serum creatinine level more than 1.2 mg/dl were included. All data was collected via self-made proforma. SPSS version 20 was used for the data analysis.

Results: Total 58 women having renal problems during pregnancy were studied, their mean age was 28.40+4.68 years and mean gestational age was 28.40+4.68 years. Most of the women 70.2% were un-booked. Parity 1-3 was commonest. Anaemic women were on high risk of renal impairment as most of the patients had moderate anemia. Hypertension was in 35.1% patients, placental abruption was in 10.5% cases, tow patients had diabetes, 12.3% presented with pregnancy induced hypertension and postpartum haemorrhage was in 05.3% cases. There was a significant negative correlation between haemoglobin level and serum creatinine level, (r-value 0.029).

Conclusion: Anemia was the commonest reason for renal impairment during pregnancy. Most of the women were un-booked, having high parity and were presented with anemia. This morbidity can be decreased and prevented by stabilizing the haemoglobin level by taking proper antenatal care.