Abstract

SANCHEZ VALDIVIA, Alfredo Jorge et al. Acute renal failure in the severely ill obstetric patient. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.4, pp. 457-470. ISSN 0138-600X.

Introduction: the acute renal failure during pregnancy may be induced by the same causes affecting to the general population, however, there are complications of each trimester of pregnancy that may become a renal failure. Objective: to recognize the main clinical features in the severe obstetric patient. Methods: a clinical characterization of acute renal failure was made in the severely ill obstetric patient admitted in the intensive care unit (ICU) by means of a cross-sectional and observational study over two years in 12 carrier patients from a total of 96 severe obstetric patients admitted in that unit. Results: the 12.5 % of patients admitted developed this entity for a mortality of 16.6 %. The more frequent cause of acute renal failure was the hypertensive disease of obstetric with predominance of parenchymatous failure (acute tubular necrosis). Authors used depurative methods in 7 patients (58.3 %) with predominance of a continuous hemofiltration among the techniques used although the medical treatment was important. The acute renal failure was associated with the dysfunction/multi-organ failure in the 83.3 % for a mortality of 20 %. Conclusion: The obstetric patient is a group with high risk for development of renal failure.

Keywords : Severely ill obstetric patient; acute renal failure.

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