ECLAMPSIA

Objectives: The purpose of our study was to find the outcome, frequency, maternal morbidity and perinatal outcome due toeclampsia in our set up. Design: Descriptive study. Place and Duration of Study: This study was conducted in the department of obstetricsand gynae from 1 st January 2007 to 1 st January 2008, in Gynecology & obstetric department: unit 1 of Liaquat University hospital Hyderabad.Patients and Methods: Total 39 patient's who had eclampsia were included in this study while other obstetric patient's who had no eclampsiawere excluded from the study. After an informed consent information was recorded on predesigned proforma regarding maternal age, parity,duration of pregnancy, B.P at admission, mode of delivery, maternal morbidity and perinatal outcome. Results were analyzed through computersoftware programme SPSS version 11 and percentages were used to describe the data. Results: Total 1415 deliveries were conducted duringthe study period. Out of these, 39 patients had eclampsia. So the frequency of eclampsia was 2.7%. Majority of patient's i.e. 15(38.4%) wereless than 20 years .Out of 39 patient's, 32(82.0%) patient's were primigravida while 4(10.2%) were multigravida and 3(7.6%) patient's weregrandmultigravida. Majority of the patient's i.e. 28(71.7%) were unbooked. 18(46.1%) patient's had fit during antenatal period, 14(35.8%)patient's had fit in postpartum period one case with eclampsia was received on 6th postnatal day. Serious maternal morbidity was pulmonaryedema seen in 6(15.3%) HELLP Syndrome in 3 (7.6%) and acute renal failure in 4(10.2%) patient's. Regarding perinatal outcome, 28(71.7%)babies were born alive, out of these 11 (39.2%) were died in early neonatal period.8 (20.5%) babies born, were still birth while 3(7.6%) weremacerated IUD. Conclusion: In our study majority of patient's who developed eclampsia were young and primigravida. Major maternalmorbidity was pulmonary edema, chest infection and acute renal failure. Perinatal mortality was also high.

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‘Case of the month’ from Haukeland University Hospital, Bergen, Norway: a 2‐year‐old boy with acute renal failure and anuria

BJU International ◽

10.1111/bju.15351 ◽

2021 ◽

Vol 127 (6) ◽

pp. 630-632

Author(s):

Øyvind Ulvik ◽

Ravi Rawal ◽

Peder Gjengstø

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

University Hospital

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Maternal and neonatal outcome in pregnancy bbeyond 41 Weeks of Gestation: Observational study

VIMS Health Science Journal ◽

10.46858/vimshsj.8201 ◽

2021 ◽

Vol 8 (2) ◽

pp. 53-57

Author(s):

Dr. Asmita Misal ◽

Dr. Urmila Gavali ◽

Dr. Gautam S. Aher

Keyword(s):

Amniotic Fluid ◽

Perinatal Outcome ◽

Maternal Morbidity ◽

Tertiary Care ◽

Mode Of Delivery ◽

Labour Induction ◽

Care Hospital ◽

Perinatal Complications ◽

Perineal Tear ◽

Meconium Stained Amniotic Fluid

Background: Pregnancy beyond term is associated with adverse maternal and perinatal outcome. The aim of the study the maternal and perinatal outcome in pregnancies at and beyond 41 week of gestation. Methods: This is a prospective study of 140 patients with pregnancy beyond 41 weeks fulfilling the eligibility criteria and admitted and delivered in department of obstetrics and gynaecology at a tertiary care hospital. We examined its association with following outcomes: age, parity, genetic factors, bishop’s score at admission, mode of delivery, induction rate, meconium stained amniotic fluid, oligohydramnios, Perinatal and neonatal morbidity, Perineal tear, postpartum haemorrhage, maternal morbidity and mortality etc. Results: Out of 140 patients, majority in the age group of 21-25 years, 68 (48.6%) patients were primigravida while 72 (51.4%) patients were multigravida. Maximum patients 65% were not in labour whereas 35% were in labour. In 51 (36.4%) patients mode of delivery was caesarean section, in which most common indication being foetal distress in 25.5% followed by meconium stained amniotic fluid in 17.6%. In present study perinatal morbidity like stillbirth, RDS were 2.86% & 25.8% respectively. Maternal morbidity like PPH, tear and wound infection were 4.31%, 6.4%, 0.7%respectively. Conclusions: With Regular antenatal check-up, incidence of post term pregnancy can be decreased and Labour induction should be considered at 41weeks to prevent lot of maternal and perinatal complications.

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Pathophysiology of Acute Renal Failure in the Neonatal Period

Fetal and Neonatal Physiology ◽

10.1016/b978-1-4160-3479-7.10136-3 ◽

2011 ◽

pp. 1428-1435

Author(s):

Tracy E. Hunley ◽

Valentina Kon

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Neonatal Period

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Rhabdomyolysis and Dengue Fever: A Case Report and Literature Review

Case Reports in Medicine ◽

10.1155/2013/101058 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 6

Author(s):

Tanya Sargeant ◽

Tricia Harris ◽

Rohan Wilks ◽

Sydney Barned ◽

Karen Galloway-Blake ◽

...

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Dengue Fever ◽

Private Hospital ◽

Nonstructural Protein ◽

Febrile Illness ◽

University Hospital ◽

Close Monitoring ◽

Nonstructural Protein 1 ◽

The University

The medical literature contains only a few reports of rhabdomyolysis occurring in patients with dengue fever. We report the case of a 25-year-old Jamaican man who was admitted to a private hospital four days after the onset of an acute febrile illness with fever, myalgia, and generalized weakness. Dengue fever was confirmed with a positive test for the dengue antigen, nonstructural protein 1. He remained well and was discharged on day 6 of his illness. On day 8, he started to pass red urine and was subsequently admitted to the University Hospital of the West Indies. On admission he was found to have myoglobinuria and an elevated creatine phosphokinase (CPK) of 325,600 U/L, leading to a diagnosis of rhabdomyolysis. Dengue IgM was positive. He was treated with aggressive hydration and had close monitoring of his urine output, creatinine, and CPK levels. His hospital course was uneventful without the development of acute renal failure and he was discharged after 14 days in hospital, with a CPK level of 2463 U/L. This case highlights that severe rhabdomyolysis may occur in patients with dengue fever and that early and aggressive treatment may prevent severe complications such as acute renal failure and death.

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The Change in Renal Replacement Therapy on Acute Renal Failure in a General Intensive Care Unit in a University Hospital and its Clinical Efficacy: A Japanese Experience

Therapeutic Apheresis and Dialysis ◽

10.1046/j.1526-0968.2003.00094.x ◽

2003 ◽

Vol 7 (5) ◽

pp. 475-482 ◽

Cited By ~ 14

Author(s):

Yoh Hirayama ◽

Hiroyuki Hirasawa ◽

Shigeto Oda ◽

Hidetoshi Shiga ◽

Kazuya Nakanishi ◽

...

Keyword(s):

Intensive Care Unit ◽

Renal Failure ◽

Acute Renal Failure ◽

Intensive Care ◽

Renal Replacement Therapy ◽

Replacement Therapy ◽

Clinical Efficacy ◽

University Hospital ◽

General Intensive Care Unit ◽

Japanese Experience

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Acute renal failure in the neonatal period: A case study approach

Journal of Neonatal Nursing ◽

10.1016/j.jnn.2009.10.001 ◽

2010 ◽

Vol 16 (1) ◽

pp. 25-32

Author(s):

Christine Niccolls

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Neonatal Period ◽

Case Study Approach ◽

Study Approach

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OBSTETRICAL ACUTE RENAL FAILURE;

The Professional Medical Journal ◽

10.29309/tpmj/2013.20.03.706 ◽

2013 ◽

Vol 20 (03) ◽

pp. 429-432

Author(s):

AMBREEN GHORI ◽

CHANDRA MADHUDAS ◽

FERKHUNDA KHURSHID ◽

Jamila Siakndari ◽

Tarachand Devrajani ◽

...

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Post Partum ◽

First Trimester ◽

Health Care Facilities ◽

University Hospital ◽

Third Trimester ◽

Care Facilities ◽

Poor Health Care ◽

One Year

Background & Objective: Acute renal failure is one of serious complication in pregnancy, in first trimester is usuallyrelated to unregulated and septic miscarriage while in third trimester it is due to obstetric complications. This prospective case seriousdescriptive study was conducted to determine the frequency, etiology and outcome of patients suffering from acute renal failure.Settings: Department of Gynecology & Obstetric at Liaquat University Hospital Hyderabad. Duration: One year (from 1st June 2011 to31st May 2012) Patients and Methods: Patients admitted in labor room during antepartum, intrapartum or post partum period werescrutinized by history, clinical examination, and investigations. Those with urine output less than 50cc in 24hours were defined as case ofARF. Predesigned proforma filled to analyze etiology and outcome of patients with acute renal failure. Results: Out of 3220 patientsadmitted, 35 patients presented with acute renal failure giving incidence of 1.080%. APH(28.57%), PPH(25.7%), P.sepsis (14.28%) andHypertensive disorder(5.14%) were leading cause of ARF. 60% patients recovered from injury and mortality in these patients were 11.4%.Conclusions: Poor health care facilities and lack of quality antenatal healthcare clinics were the major identified causes.

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