Postpartum Related Acute Renal Failure Mortality at Haemodialysis Aden Yemen

Alwan , Saeed Mohamed; Humam , Mohsen Awadh; Ahmed Saeed Mansub

doi:10.5742/MEJFM.2013.114260

Article Details

Postpartum Related Acute Renal Failure Mortality at Haemodialysis Aden Yemen

Authors:

Alwan , Saeed Mohamed | Humam , Mohsen Awadh | Ahmed Saeed Mansub

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2013 vol.11 Issue 4, pp.34-38

Document Type:

Article

Publication Date:

6/2013

Document Language:

English

Document ID (Org No.):

31828

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEJFM.2013.114260

Descriptors:

Keywords:

Abstract:

 Background: Acute renal failure ARF in pregnancy can be induced by any of the disorders leading to renal failure, such as acute tubular necrosis. Early in pregnancy, they commonly are resulting from a septic abortion, preeclampsia, postpartum bleeding and idiopathic postpartum ARF. Objective: To determine the incidence of pregnancy related (ARF), clinical spectrum, morbi-mortality of this preventable complication. Methods: It was an observational and prospective hospital based study, done at hemodialysis HD center-AdenResults: The Pregnancy related ARF numbered were 39 patients, 33 (85%) were multipara and 14 (15%) were primigravida. The majority 25 (64%), receiving antenatal care 28 (72%) were from rural areas and had not received any antenatal care. All 39 patients (100%) cases presented to the haemodialysis center immediately within (1-3 days) (postpartum). 35 cases (90%) were anuric. Idiopathic ARF was the commonest cause, 11 patients (28%). Bloodloss causing hypotensiondue to postpartum hemorrhage (PPH) was the second cause, 9 patients (23 %). Sepsis in general including septicemia in 6 cases, and eclampsia in 7 (18%) cases. (67%) patients received haemodialysis, 13 of these patients died during HD and 2 patients (5%). The commonest probable clinical diagnosis was acute tubular necrosis (ATN) in 22 (56%) cases with complete recovery. 13 patients were HD.Conclusion: Pregnancy related acute renal failure is a major health problem and carries very high mortality and morbidity. Poor healthcare facilities and lack of antenatal healthcare clinics compound this problem.

Article Details

Postpartum Related Acute Renal Failure Mortality at Haemodialysis Aden Yemen

Authors:

Alwan , Saeed Mohamed | Humam , Mohsen Awadh | Ahmed Saeed Mansub

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2013 vol.11 Issue 4, pp.34-38

Document Type:

Article

Publication Date:

6/2013

Document Language:

English

Document ID (Org No.):

31828

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEJFM.2013.114260

Descriptors:

KIDNEY DISEASES

PRENATAL DISEASES

PARTURITION COMPLICATIONS

BLEEDING

MORTALITY

HEALTH CARE DELIVERY

PATIENTS

YEMEN

ARF

Haemodialysis

Acute tubular necrosis

Acute cortical necrosis

idiopathic ARF

ARF

Eclampsia

postpartum

antenatal

Issues

Article Details

Authors: Alwan , Saeed Mohamed | Humam , Mohsen Awadh | Ahmed Saeed Mansub

Publisher: medi+WORLD International

Main Topics: Medicine

Journal: World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2013 vol.11 Issue 4, pp.34-38

Document Type: Article

Publication Date: 6/2013

Document Language: English

Document ID (Org No.): 31828

Frequency: Monthly

eISSN: 18390196

pISSN: 18390188

DOI: 10.5742/MEJFM.2013.114260

Descriptors:

Issues

Authors:

Alwan , Saeed Mohamed | Humam , Mohsen Awadh | Ahmed Saeed Mansub

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2013 vol.11 Issue 4, pp.34-38

Document Type:

Article

Publication Date:

6/2013

Document Language:

English

Document ID (Org No.):

31828

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEJFM.2013.114260