Profile and outcomes of women with pregnancy‐related acute kidney injury requiring dialysis at a center in Ethiopia

Bekele, Delayehu; Ahmed, Mariam; Aliyu, Ibrahim; Kedir, Seman; Chan, Grace J

doi:10.1002/ijgo.12201

Cited by 6 publications

(17 citation statements)

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“…In developing countries, postpartum acute kidney injury is still quite common, and it has devastating consequences for both maternal and fetal survival. We could not find any previous papers on the prevalence of pregnancy-related AKI in Somalia, therefore, we cannot comment on any changes in the local prevalence of postpartum AKI in Somalia, but studies from neighboring countries showed a high prevalence of pregnancy-related acute kidney injury when compared to developed countries, with 13% from Ethiopia 14 and 3.2% from Kenya. 15…”

Section: Discussionmentioning

confidence: 93%

Demographic Characteristics and Risk Factors Affecting the Development of Postpartum Acute Kidney Injury in Somalia: Single-Center Experience

Omar¹,

Osman²,

Hilowle³

et al. 2022

IJWH

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Background and Aim Although postpartum acute kidney injury (PPAKI) is declining in developing countries, it is still a leading cause of maternal and fetal morbidity and mortality. The study aimed to determine the causes, risk factors, and the outcomes of patients with postpartum acute kidney injury managed at Mogadishu Somali Turkey Training and Research Hospital, in Mogadishu, Somalia over a two years period. Methods This study was conducted retrospectively at Mogadishu Somali-Turkey Training and Research Hospital, Somalia’s largest teaching and referral hospital. During a two-year period (January 2020 to December 2021), we evaluated women who had acute kidney injury during the postpartum period and were hospitalized in our hospital. The data was also evaluated for postpartum admission day and hospital stay. The requirement for dialysis and the results were documented. Maternal outcomes are categorized as follows: Complete recovery after discharge/follow-up, chronic dependence on hemodialysis and death during admission. Results We studied 79 postpartum AKI patients. The mean age of the participants was 28.67 ± 6.14. Most patients (51%) were aged 20–30, followed by 30–40 (29%). According to self-reported comorbidities, most individuals had no history of chronic diseases, 8 (10.1%) had hypertension and 3 (3.8%) had heart failure, and DM and HTN 2(2.5%). The most common causes of PPAKI were eclampsia (24.1%), hemorrhagic shock, intrauterine mortality (16.5%), placenta abruptio and uterine rupture (8.9%). Hemorrhage (5.1%) and placenta previa (2.5%). The patient’s outcome was associated with age (p=0.04), platelet (p=0.024), and hospital stay (p=0.009). Conclusion Postpartum acute kidney injury is very common in underdeveloped nations. Preeclampsia/Eclampsia, obstetric bleeding, and intrauterine death are the leading causes of postpartum acute kidney injury in Somalia. This tragic scenario may be avoided by providing appropriate antenatal care and raising awareness among Somali women about the benefits of antenatal care provided by public institutions.

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Section: Discussionmentioning

confidence: 93%

Demographic Characteristics and Risk Factors Affecting the Development of Postpartum Acute Kidney Injury in Somalia: Single-Center Experience

Omar¹,

Osman²,

Hilowle³

et al. 2022

IJWH

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“…Trata-se de uma revisão integrativa 7 . As complicações gestacionais mais comuns, segundo os estudos analisados, foram hipertensão materna, polihidrâmios, anemia, hiperemese, parto pré-termo 9,10 .…”

Section: Materials E Métodounclassified

“…Dentre as complicações mais citadas merece destaque a pré-eclâmpsia ou eclampsia, chegando a 74% das gestantes estudadas, seguido de sepse em 14% das gestantes 9 . A suspeita de pré-eclâmpsia, a deterioração da função renal evidenciada por aumento dos níveis de creatinina sérica; aparecimento ou aumento súbito de proteinúria em urina de 24 horas; aumento do ácido úrico sérico; hipertensão arterial de difícil controle e a urgência ou emergência hipertensiva.…”

Section: Materials E Métodounclassified

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Complicações e desfechos de gestações durante o tratamento hemodialítico

Lima¹,

Barros²,

Teixeira³

et al. 2021

Revista Recien

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Trata-se de uma revisão integrativa que tem como objetivo analisar a literatura disponível acerca das complicações e desfechos de gestações de mulheres com doença renal crônica em hemodiálise, utilizando descritores em ciência da saúde (DeCS): gestação, diálise renal, insuficiência renal. A busca pelos artigos foi efetuada nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online e Índice Bibliográfico Español en Ciencias de la Salud. Obtiveram-se 130 estudos, sendo selecionados 6 artigos para análise. As principais complicações encontradas foram pré-eclâmpsia, parto prematuro e óbito materno. Observou-se que intensificar as sessões de hemodiálise influencia positivamente no desfecho gestacional. Assim, para melhorar os resultados perinatais em gestações concomitantes à hemodiálise, é importante o acompanhamento pré-natal especializado com abordagem multidisciplinar.Descritores: Gestação, Diálise Renal, Insuficiência Renal. Complications and outcomes of pregnancies during hemodialysis treatmentAbstract: This is an integrative review that aims to analyze the available literature on complications and outcomes of pregnancies of women with chronic kidney disease on hemodialysis, using health science (DeCS) descriptors: pregnancy, kidney dialysis, kidney failure. The search for the articles was carried out in the databases of Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online and Bibliographic Index Español en Ciencias de la Salud. 130 studies were obtained, with 6 articles selected for analysis. The main complications found were pre-eclampsia, premature birth and maternal death. It was observed that intensifying the hemodialysis sessions positively influences the gestational outcome. Thus, in order to improve perinatal outcomes in pregnancies concomitant with hemodialysis, specialized prenatal care with a multidisciplinary approach is important.Descriptors: Gestation, Renal Dialysis, Renal Insufficiency. Complicaciones y resultados de los embarazos durante el tratamiento de hemodiálisisResumen: Esta es una revisión integradora que tiene como objetivo analizar la literatura disponible sobre complicaciones y resultados de embarazos de mujeres con enfermedad renal crónica en hemodiálisis, utilizando descriptores de ciencias de la salud (DeCS): embarazo, diálisis renal, insuficiencia renal. La búsqueda de los artículos se realizó en las bases de datos de Literatura Latinoamericana y del Caribe en Ciencias de la Salud, Sistema de Análisis y Recuperación de Literatura Médica en línea e índice bibliográfico Español en Ciencias de la Salud. Se obtuvieron estudios 130, con 6 artículos seleccionados para el análisis. Las principales complicaciones encontradas fueron preeclampsia, parto prematuro y muerte materna. Se observó que intensificar las sesiones de hemodiálisis influye positivamente en el resultado gestacional. Por lo tanto, para mejorar los resultados perinatales en embarazos concomitantes con hemodiálisis, es importante la atención prenatal especializada con un enfoque multidisciplinario.Descriptores: Gestación, Hemodiálisis, Insuficiencia Renal.

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Pregnancy-Associated Acute Kidney Injury in Low-Resource Settings: Progress Over the Last Decade

Davidson¹,

Bajpai²,

Shah³

et al. 2022

Seminars in Nephrology

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Profile and outcomes of women with pregnancy‐related acute kidney injury requiring dialysis at a center in Ethiopia

Cited by 6 publications

References 10 publications

Demographic Characteristics and Risk Factors Affecting the Development of Postpartum Acute Kidney Injury in Somalia: Single-Center Experience

Demographic Characteristics and Risk Factors Affecting the Development of Postpartum Acute Kidney Injury in Somalia: Single-Center Experience

Complicações e desfechos de gestações durante o tratamento hemodialítico

Pregnancy-Associated Acute Kidney Injury in Low-Resource Settings: Progress Over the Last Decade

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