Qurban Ali Shaikh, Nisar Ahmed Shaikh, Akbar Ali Soomro, Ghulam Shabir Shaikh, Abdul Rasheed Shaikh.
Pregnancy related acute renal failure; an experience at Nephro-urology department Chandka Medical College teaching hospital Larkana.
Professional Med J Jan ;15(1):129-32.

Introduction: Acute renal failure (ARF) during pregnancy is rare event and continues to be common in developing countries. Period: 1998-2005. Setting: Nephro-urology unit at Chandka Medical College, Larkana. Study Design: Retrospective study. Patients & Methods: 294 cases of Acute Renal Failure were treated. Among these cases, 72 (24.5%) were pregnancy related in origin. All of these patients were known to be previously healthy. Results: Pregnancy related Acute Renal Failure was associated with, post partum hemorrhage was in 20(27.7%), intra uterine death in 20(27.7%) antipartum hemorrhage was 18(25%), preeclampsia-eclampsia in 8(11.11%) and septic abortion and puerperal sepsis in 6 (8.3%). Among these patients 65(90.3%) required dialysis therapy because of moderate to severe azotemia. 35 (45.61%) patients recovered normal function. 30(46.15%) developed irreversible renal function. Conclusion: Early reorganization of this disorder, improvement of health infra structure, antenatal health care and intensive supportive therapy, can reduce maternal and fetal mortality and morbidity.

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