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Acute kidney injury in pregnancy including renal disease diagnosed in pregnancy

David R Hall1, Frances Conti-Ramsden2

  • 1Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|January 22, 2019
PubMed

Pregnancy-related acute kidney injury (AKI) is a rare but serious complication in high-income settings and remains an important cause of maternal and foetal morbidity and mortality in low- and middle-income settings. Hypertensive disorders of pregnancy are the leading cause of pregnancy-related AKI worldwide. In this article, we outline the epidemiology, aetiology, recognition, investigation and management of pregnancy-related AKI. Difficulties in the definition of AKI, approaches to determine the cause of AKI in diagnostically challenging circumstances and diagnosis of new renal disease in pregnancy are discussed.

Keywords:
Acute kidney injuryPre-eclampsiaPregnancy

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