Insuffisance rénale aiguë et grossesse

Belenfant, Xavier; Pallot, Judith; Reziz, K.; Leger, St.

doi:10.1016/j.emcnep.2004.01.002

Cited by 3 publications

(4 citation statements)

References 77 publications

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“…Eclampsia was the most common cause in a study in Morocco [9], whereas it was present in 12.5% of cases Chugh et al [4]. Two of our patients had preeclampsia [22,23].…”

Section: Introductionmentioning

confidence: 67%

Obstetric Cortical Renal Necrosis, Even Reality in the Tropics

SM¹

2014

J Nephrol Ther

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“…Eclampsia was the most common cause in a study in Morocco [9], whereas it was present in 12.5% of cases Chugh et al [4]. Two of our patients had preeclampsia [22,23].…”

Section: Introductionmentioning

confidence: 67%

Obstetric Cortical Renal Necrosis, Even Reality in the Tropics

SM¹

2014

J Nephrol Ther

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“…Tounkara had recovered 21.42%. According to data from the literature the maternal mortality from obstetric ARI in developing countries often reaches 15% [5,18]. Perinatal mortality (stillbirths and deaths of newborns less than one week old) was 41.2%.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Prognostic Aspects of Obstetric Acute Renal Failure in the Nephrology and Hemodialysis Department of the Point G Teaching Hospital in Mali

Sidiki¹,

Yattara²,

Sy³

et al. 2020

SASJM

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Original Research ArticleIntroduction: Acute kidney injury (AKI) remains a serious and frequent complication in developing countries. Objective: To evaluate the clinical and evolutionary profile of patients hospitalized for acute obstetric renal failure in the nephrology department of the Point G teaching hospital in Mali. Patients and methods: This was a prospective and descriptive study from June 1, 2015 to June 1, 2019. Results: The prevalence of obstetrical AKI in the nephrology department of the Point G teaching hospital was 2.08%. The majority of AKI occurred postpartum 61 cases versus 2 cases during pregnancy after the 20th week of amenorrhea. The mean age of the patients was 27.31 ± 5.49 years. Blood pressure was normal in 30.2% of participants. According to the WHO classification of hypertensive patients, hypertension grade 2 was found in 36.5% of cases followed by grade 3 and 1 (17.5% and 15.9%). The average blood pressure was 150.39 / 98.68 mmHg. The haemogram objectified severe anaemia in thirty-five patients. The causes of AKI were severe preeclampsia (55.5%), postpartum hemorrhage (36.5%), post-clandestine abortion sepsis (3.2%), severe Palsmodium falciparum malaria (1.6%), severe superimposed preeclampsia (1.6%) and hemolytic uremic syndrome (1.6%). Forty-six patients were dialysed, i.e. 73%. During their follow-up, total recovery of renal function was observed in 67.9% (31 cases) versus 1 case of partial recovery, 4 patients progressed to end-stage chronic renal failure, 7 cases of death were observed and 3 cases of discontinuation of follow-up. Among the non-dialysis patients, recovery of ad-integrum renal function was observed in 16 patients and 1 case of death. Maternal and perinatal mortality was 12.69% and 41.2% of cases. Conclusion: Obstetric AKI remains common in Africa. Screening for renal impairment during pregnancy should be routine. We insist on primary prevention of obstetrical complications, decentralization of dialysis centers, close collaboration between nephrologist and obstetrician in order to significantly reduce this non-negligible morbi-mortality.

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“…Disseminated intravascular coagulopathy (DIC) is defined by the presence of thrombocytopenia < 100,000 mm 3 , a decrease in fibrinogen < 3 g/l, fibrin degradation products > 40 m/dl and a prolongation of overall times: TQ and TCA from 1.5 to two times. HELLP syndrome is retained as defined by Weinstein [3]: hemolysis: increase in indirect bilirubin with drop in hemoglobin, hepatic cytolysis and thrombocytopenia < 100,000 mm 3 . Pregnancy monitoring was regular if patients received at least 4 prenatal consultations during pregnancy.…”

Section: Methodsmentioning

confidence: 99%

“…Obstetric acute kidney injury (AKI) is a sudden and temporary alteration of renal function during pregnancy or during the peripartum period [1] [2]. Its incidence in developed countries has fallen due to improvements in prenatal monitoring and early detection of pregnancy complications [2] [3]. On the other hand, in developing countries, pregnancy is responsible for 20% to 25% of the occurrence of AKI [4].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Acute Kidney Injury in Pregnancy in N’Djamena, Chad

Abderraman,

Charfadine,

Hissein

2023

OJNeph

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Introduction: Acute kidney injury (AKI) is a relatively rare but serious complication during pregnancy. It is often the consequence of a delay or poor management of a given complication that constitutes as a public health problem in developing countries. The objective of our study was to determine the epidemiological, diagnostic, therapeutic and evolutionary aspects of obstetric acute kidney injury in Chad. Methodology: This was a cross-sectional study with descriptive and analytical aims over a period of 6 months from June 1, 2020 to November 30, 2020 and conducted in the Gyneco-Obstetric Emergency Department of the Mother and Child University Hospital in N'Djamena. All patients admitted for obstetric AKI and requiring hemodialysis were referred to the Nephrology Department of the Renaissance University Hospital. AKI was defined according to the KDIGO 2012 classification. All pregnant women with more than 20 weeks of gestation until immediately postpartum who were admitted for acute kidney injury were included in the study. Results: During our work, 1238 patients were collected. Among them, 56 cases of obstetric AKI were included, representing a hospital prevalence of 4.5%. The average age was 26.1 ± 5.8 years (16 and 37 years). The majority of our patients were primigravidas which was 42%, rural women represented 35.7% of our sample and nearly 67.8% of pregnancies did not benefit from regular prenatal consultation. AKI during the 3rd trimester was found in 42.9% of cases. Oligo-anuria was present in 28.6% of cases. Acute tubular necrosis was found in 52 cases. It was secondary to preeclampsia in 60.7%, to HELLP syndrome in 17.9% and to a hemorrhagic delivery complicating a retroplacental hematoma in 7.1%. According to the KDIGO 2012 classification, Stages 1, 2 and 3 represented 32%, 23% and 25% of cases, respectively. Hemodialysis was initiated in 1/4 of cases. Recovery of renal function was complete in 78.6% of cases and partial in 7.1%. We recorded eight (14.3%) maternal deaths and twenty-four cases of in-utero fetal death. The average length of hospital stay was 9.

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Insuffisance rénale aiguë et grossesse

Cited by 3 publications

References 77 publications

Obstetric Cortical Renal Necrosis, Even Reality in the Tropics

Obstetric Cortical Renal Necrosis, Even Reality in the Tropics

Clinical and Prognostic Aspects of Obstetric Acute Renal Failure in the Nephrology and Hemodialysis Department of the Point G Teaching Hospital in Mali

Outcome of Acute Kidney Injury in Pregnancy in N’Djamena, Chad

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