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Obstetric acute renal failure 1956–1987
Author(s) -
TURNEY J. H.,
ELLIS C. M.,
PARSONS F. M.
Publication year - 1989
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1989.tb03282.x
Subject(s) - medicine , intensive care medicine , acute kidney injury , medical emergency
Summary. A total of 142 women with severe acute renal failure (ARF) resulting from obstetric causes was treated by dialysis at a single centre from 1956 to 1987. One‐year survival was 78·6%, which compares favourably with other causes of ARF. Abortion, haemorrhage and preeclampsia comprised 95% of cases, with survival being best (82·9%) with abortion. Survival was adversely affected by increasing age. Acute cortical necrosis (12·7% of patients) carried 100% mortality after 6 years. Follow‐up of survivors showed normal renal function up to 31 years following ARF; 25‐year patient survival was 71·6%. Improvements in obstetric care and the disappearance of illegal abortions have resulted in a dramatic decline in the incidence of obstetric ARF.