Many complications associated with pregnancy may induce AKI (acute kidney injury or acute renal failure).
ACUTE KIDNEY INJURY (ACUTE RENAL FAILURE) IN PREGNANCY
Many complications associated with
pregnancy may induce AKI (acute kidney injury or acute renal failure). In the
early period of pregnancy, pre-renal disease (fluid loss and dehydration) or
acute tubular necrosis may follow hyperemesis gravidarum (persistent vomiting) or
septic abortion. In the late pregnancy period, acute renal failure may induced
by preeclampsia, thrombotic microangiopathies, acute fatty liver of pregnancy,
renal cortical necrosis, pyelonephritis, urinary tract occlusion or kidney
stone disease.
The finding of low platelet count (thrombocytopenia)
and anemia (low hemoglobin) with acute kidney injury may be induced by either thrombotic
thrombocytopenic purpura-hemolytic uremic syndrome (TTP-HUS) or severe
preeclampsia with the HELLP syndrome. A full detailed history with a complete battery
of investigation will help differentiation these disorders. Therapy of
preeclampsia associated with HELLP syndrome can be induced by delivery
institution.