Pregnancy-related acute renal failure in the southeast region of Turkey: analysis of 75 cases

Objective: To study the clinical profile, management and outcome of the patients with pregnancy-related acute renal failure (PRARF). Methods: All patients with PRARF admitted between January 2006 and January 2009 were analyzed. Results: The total number of women with PRARF was 75. Age range of women with PRARF was 21 to 46 years and 36% of the cases of PRARF were seen in the postpartum period. PRARF was caused by sepsis in 14.6%, toxemias of pregnancy in 75.2%, and hemorrhage of pregnancy in 12%. Postabortal sepsis was the cause in 14.6%. Dialysis was needed in 33.3%. Maternal mortality rate was 10.6%. Conclusions: 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 are major identified causes