ABSTRACT
Background and Objective: Acute renal failure is one of serious complication in pregnancy, in first trimester is usually related to unregulated and septic miscarriage while in third trimester it is due to obstetric complications. This prospective case serious descriptive study was conducted to determine the frequency, etiology and outcome of patients suffering from acute renal failure
Settings: Department of Gynecology and Obstetric at Liaquat University Hospital Hyderabad
Duration: One year [from 1st June 2011 to 31st May 2012]
Patients and Methods: Patients admitted in labor room during antepartum, intrapartum or post partum period were scrutinized by history, clinical examination, and investigations. Those with urine output less than 50cc in 24 hours were defined as case of ARF. Predesigned proforma filled to analyze etiology and outcome of patients with acute renal failure
Results: Out of 3220 patients admitted, 35 patients presented with acute renal failure giving incidence of 1.080%. APH[28.57%], PPH[25.7%], P.sepsis [14.28%] and Hypertensive disorder[5.14%] were leading cause of ARF. 60% patients recovered from injury and mortality in these patients were 11.4%
Conclusions: Poor health care facilities and lack of quality antenatal healthcare clinics were the major identified causes