Acute Renal Failure in Pregnancy

Ra, Knuppel; Montenegro, Raul; Wf, O'Brien

doi:10.1097/00003081-198528020-00006

Cited by 5 publications

(2 citation statements)

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“…Acute renal failure of pregnancy is subcategorized etiologically into three groups: prerenal, renal and postrenal. Hypovolemia due to hyperemesis gravidarum and uterine hemorrhage are the principle underlying causes of prerenal azotemia of pregnancy (122). Hemorrhage in turn is caused by abortion, placenta previa and abruption.…”

Section: Pregnancy and Renal Failurementioning

confidence: 99%

“…Failure to replenish appropriate volume components causes prerenal azotemia to evolve into acute tubular necrosis (ATN), the most frequent etiology of gestational ARF (the other significant etiology being renal cortical necrosis [RCN]). RCN results from disseminated intravascular coagulation (DIC, in the setting of amniotic fluid embolism, intrauterine fetal demise or abruption), transfusion reactions and sepsis (chorioamnionitis, septic abortion and pyelonephritis) (123)(124)(125). RCN and ATN differ in that the former is manifested by anuria and irreversible renal impairment followed by renal cortical calcification in the healing phase, whereas the latter infrequently presents with anuria and tends to resolve to satisfactory renal function (126).…”

Section: Pregnancy and Renal Failurementioning

confidence: 99%

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Urologic Issues During Pregnancy

Weiss

2004

The Scientific World JOURNAL

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Pregnancy induces a variety of physiologic changes in the urinary tract. When such changes become accentuated the physiologic becomes the pathologic and symptoms arise, at times of significance enough to threaten the well being of mother and/or fetus. This article intends to describe the basis for urinary physiology and its pathologic counterparts during pregnancy. Such a background may then facilitate a rational management protocol for various urologic problems in the gravid state.

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Section: Pregnancy and Renal Failurementioning

confidence: 99%

Section: Pregnancy and Renal Failurementioning

confidence: 99%

Urologic Issues During Pregnancy

Weiss

2004

The Scientific World JOURNAL

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Obstetrical Emergencies

Reynaert¹,

Dugernier²,

Lierde³

1987

Update in Intensive Care and Emergency Medicine

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The role of intravascular coagulation in pregnancy related acute renal failure

Stratta¹,

Canavese²,

Colla³

et al. 1988

Arch Gynecol Obstet

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Pregnancy-related acute renal failure (ARF) can include reversible tubular necrosis as well as irreversible cortical necrosis. Though pathogenetic mechanism are not fully understood, disseminated intravascular coagulation (DIC) probably plays a primary role. We report 25 cases of pregnancy-related ARF: 13 were associated with preeclampsia or eclampsia and 12 with obstetric complications. The following parameters were studied: partial thromboplastin, prothrombin and thrombin time, fibrinogen, anti-thrombin III and FDP levels, platelet count, whole blood clot lysis time and area, fragmented red cells (schistocytes) in the blood smear, hemoglobin, aptoglobin and LDH concentrations. DIC was scored in arbitrary units ranging from 12 to 36 and related to the clinical picture, renal outcome and the treatment employed. Five patients had irreversible renal damage, while 19 recovered fully; one patient died and no renal histology was available. The DIC score did not seem to have a significant relation to the severity of renal damage.

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Acute Renal Failure in Pregnancy

Cited by 5 publications

References 0 publications

Urologic Issues During Pregnancy

Urologic Issues During Pregnancy

Obstetrical Emergencies

The role of intravascular coagulation in pregnancy related acute renal failure

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