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acute renal failure in pregnancy

Etiology: 1) acute tubular necrosis (most common) 2) acute cortical necrosis 3) pre-eclampsia [2] - peripartum fluid restriction [2] Clinical manifestations: - anuria & hematuria or the presence of oliguria for > 1 week suggest acute cortical necrosis Laboratory: - renal biopsy (rarely necessary) Complications: 1) abruptio placenta 2) septic abortion 3) severe preeclampsia 4) amniotic fluid embolism 5) retained fetus

Related

pregnancy (gestation)

General

renal disease in pregnancy acute renal failure (ARF)

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
  2. Mehrabadi A et al Hypertensive disorders of pregnancy and the recent increase in obstetric acute renal failure in Canada: population based retrospective cohort study. BMJ 2014;349:g4731 PMID: 25077825 http://www.bmj.com/content/349/bmj.g4731