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Acute renal failure in pregnancy
1Clinique Nephrologique, Hôpital Necker, Paris, France.
Bailliere'S Clinical Obstetrics and Gynaecology
|June 1, 1994
Summary
Acute renal failure (ARF) in pregnancy is now rare due to improved prenatal care and reduced septic abortions. Management involves supportive therapies and dialysis for severe cases.
Area of Science:
- Nephrology
- Obstetrics and Gynecology
- Critical Care Medicine
Background:
- Acute renal failure (ARF) is a rare but serious complication of pregnancy.
- Improvements in prenatal care and management of conditions like pre-eclampsia have decreased ARF incidence.
- Septic abortion-related ARF has significantly declined, contributing to the rarity of this complication.
Purpose of the Study:
- To review the current status and management of acute renal failure in pregnancy.
- To highlight the declining incidence and changing etiologies of ARF in obstetric patients.
- To discuss therapeutic strategies for ARF during pregnancy, including dialysis and specific treatments.
Main Methods:
- Review of recent literature on ARF in pregnancy.
- Analysis of trends in ARF incidence and causes.
- Discussion of management protocols for pregnant patients with ARF.
Main Results:
- The incidence of ARF in pregnancy has markedly decreased.
- Improved prenatal care, reduced septic abortions, and better management of pre-eclampsia are key factors.
- Acute fatty liver and idiopathic postpartum renal failure remain significant causes of ARF with high mortality.
Conclusions:
- ARF in pregnancy, while rare, requires prompt recognition and management.
- Supportive care, including dialysis, is crucial for maternal and fetal outcomes.
- Specific therapies like plasma exchange and antiplatelet agents may benefit certain cases.