Outcome and Causes of Acute Renal Failure in Women during Peripartum Period
OBJECTIVE: To find the causes of occurrence and outcome of acute renal failure in women during peripartum period. METHODOLOGY: This prospective study was conducted in department of Gynae & Obsts. in collaboration with urology department at Liaquat University of Medical & Health Sciences...
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Format: | Article |
Language: | English |
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Liaquat University of Medical and Health Sciences
2020-03-01
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Series: | JLUMHS |
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author | Dr. Shazia Awan Dr. Saira Dars Dr. Saima Junejo Dr. Shazia Rani Dr. Raheel Sikandar |
author_facet | Dr. Shazia Awan Dr. Saira Dars Dr. Saima Junejo Dr. Shazia Rani Dr. Raheel Sikandar |
author_sort | Dr. Shazia Awan |
collection | DOAJ |
description | OBJECTIVE: To find the causes of occurrence and outcome of acute renal failure in women during
peripartum period.
METHODOLOGY: This prospective study was conducted in department of Gynae & Obsts. in
collaboration with urology department at Liaquat University of Medical & Health Sciences Jamshoro from February 2015 to January 2017. Sample size was 90, overwhelming patients coming from
peripheral area. Data was analyzed in SPSS version 21.0. Mean and standard deviation for quantitative variables such as age, gravidity & parity, frequency and percentages were calculated for qualitative
variables; pre-eclampsia, eclampsia, hemolysis, post and antepartum hemorrhages, high liver enzymes, puerperal sepsis, low platelets, disseminated intravascular coagulation and outcomes like complete, partial and non-recovery. T-test was applied to evaluate the causes and outcomes. P value (P < 0.05) was considered as significant.
RESULTS: Causes of 90 patients, which includes pre-eclampsia, eclampsia 11(12.22%), Postpartum hemorrhage 9(10%), Ante-partum hemorrhage 10(11.11%), 27 (30%) Hemorrhage, HELLP Syndrome 3(3.33%), purpeural sepsis and disseminated intravascular coagulation 7(7.77%), Ruptured Uterus 4(4.44%), hemolysis, elevated liver enzyme and Low Platelets Syndrome 5(5.55%), disseminated
intravascular coagulation 4(4.44%), Dehydration 4(4.44%) and Obstructed Labor 6(6.66%).
Outcome of acute renal failure in women during peripartum period, includes maternal outcome, delayed complete recovery, partial recovery, non-recovery, referred for dialysis.
CONCLUSION: We concluded that the frequently causes were peripartum haemorrhage, eclampsia
pre-eclampsia, puerperal sepsis and these sources were risk factors to increase morbidity and mortality. |
first_indexed | 2024-04-13T22:25:40Z |
format | Article |
id | doaj.art-290ee43e419744a49213da58861ae206 |
institution | Directory Open Access Journal |
issn | 1729-0341 2309-8627 |
language | English |
last_indexed | 2024-04-13T22:25:40Z |
publishDate | 2020-03-01 |
publisher | Liaquat University of Medical and Health Sciences |
record_format | Article |
series | JLUMHS |
spelling | doaj.art-290ee43e419744a49213da58861ae2062022-12-22T02:27:04ZengLiaquat University of Medical and Health SciencesJLUMHS1729-03412309-86272020-03-01191202310.22442/jlumhs.201910655Outcome and Causes of Acute Renal Failure in Women during Peripartum PeriodDr. Shazia Awan 0Dr. Saira Dars 1Dr. Saima Junejo 2Dr. Shazia Rani 3Dr. Raheel Sikandar 4Assistant Professor Department of Gynae/ Obs. Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh-Pakistan.Senior Registrar Department of Gynae/ Obs. LUMHS, Jamshoro, Sindh-Pakistan.Postgraduate Student Department of Gynae/ Obs. LUMHS, Jamshoro, Sindh-Pakistan.Assistant Professor Department of Gynae/ Obs. LUMHS, Jamshoro, Sindh-Pakistan.Professor Department of Gynae/ Obs. LUMHS, Jamshoro, Sindh-Pakistan.OBJECTIVE: To find the causes of occurrence and outcome of acute renal failure in women during peripartum period. METHODOLOGY: This prospective study was conducted in department of Gynae & Obsts. in collaboration with urology department at Liaquat University of Medical & Health Sciences Jamshoro from February 2015 to January 2017. Sample size was 90, overwhelming patients coming from peripheral area. Data was analyzed in SPSS version 21.0. Mean and standard deviation for quantitative variables such as age, gravidity & parity, frequency and percentages were calculated for qualitative variables; pre-eclampsia, eclampsia, hemolysis, post and antepartum hemorrhages, high liver enzymes, puerperal sepsis, low platelets, disseminated intravascular coagulation and outcomes like complete, partial and non-recovery. T-test was applied to evaluate the causes and outcomes. P value (P < 0.05) was considered as significant. RESULTS: Causes of 90 patients, which includes pre-eclampsia, eclampsia 11(12.22%), Postpartum hemorrhage 9(10%), Ante-partum hemorrhage 10(11.11%), 27 (30%) Hemorrhage, HELLP Syndrome 3(3.33%), purpeural sepsis and disseminated intravascular coagulation 7(7.77%), Ruptured Uterus 4(4.44%), hemolysis, elevated liver enzyme and Low Platelets Syndrome 5(5.55%), disseminated intravascular coagulation 4(4.44%), Dehydration 4(4.44%) and Obstructed Labor 6(6.66%). Outcome of acute renal failure in women during peripartum period, includes maternal outcome, delayed complete recovery, partial recovery, non-recovery, referred for dialysis. CONCLUSION: We concluded that the frequently causes were peripartum haemorrhage, eclampsia pre-eclampsia, puerperal sepsis and these sources were risk factors to increase morbidity and mortality.acute renal failurewomenperipartum period. |
spellingShingle | Dr. Shazia Awan Dr. Saira Dars Dr. Saima Junejo Dr. Shazia Rani Dr. Raheel Sikandar Outcome and Causes of Acute Renal Failure in Women during Peripartum Period JLUMHS acute renal failure women peripartum period. |
title | Outcome and Causes of Acute Renal Failure in Women during Peripartum Period |
title_full | Outcome and Causes of Acute Renal Failure in Women during Peripartum Period |
title_fullStr | Outcome and Causes of Acute Renal Failure in Women during Peripartum Period |
title_full_unstemmed | Outcome and Causes of Acute Renal Failure in Women during Peripartum Period |
title_short | Outcome and Causes of Acute Renal Failure in Women during Peripartum Period |
title_sort | outcome and causes of acute renal failure in women during peripartum period |
topic | acute renal failure women peripartum period. |
work_keys_str_mv | AT drshaziaawan outcomeandcausesofacuterenalfailureinwomenduringperipartumperiod AT drsairadars outcomeandcausesofacuterenalfailureinwomenduringperipartumperiod AT drsaimajunejo outcomeandcausesofacuterenalfailureinwomenduringperipartumperiod AT drshaziarani outcomeandcausesofacuterenalfailureinwomenduringperipartumperiod AT drraheelsikandar outcomeandcausesofacuterenalfailureinwomenduringperipartumperiod |