Renal failure - a dreadful complication seen in patients with abruptio placentae

ABSTRACT

In a clinical study in the department of Obstetrics and Gynaecology at People's Medical College Nawabshah from 15th April 2000 till 30thAPril 2003, it was noted that 1662 patients got admitted in the maternity ward, amongst whom 340 [21%] patients came with the complaint of antepartum haemorrhage out of which 110 [7%] patients were found to have abruptio placentae. Amongst whom, in 72 [65%] patients the abruptio was severe enough to cause intra uterine death of the fetus and 15 [14%] patients developed acute renal failure. Five patients died due to the additive effects of various complications. 13 [12%] patients needed peritoneal dialysis out of them 7 patients subsequently improved and 3 patients required kidney transplantation and were referred to Karachi. Early diagnosis and quicker treatment saved the rest of the patients from developing dreadful complications