Advertisement

Acute Renal Failure in Pregnancy

  • Jean-Pierre Grünfeld
  • Nathalie Pertuiset
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 212)

Abstract

Acute renal failure (ARF) has become a very rare complication of pregnancy. In the 1960s, pregnancy-related ARF represented approximately 20 to 40% of all cases of ARF. Since 1970, its incidence in industrialized countries has decreased dramatically because of the virtual disappearance of septic abortion and better prenatal care. At the National Maternity Hospital, Dublin, from 1961 to 1970, 20 cases of ARF occurred among 57,568 delivered women whereas from 1971 to 1980, only 4 cases were observed among 83,713 deliveries. At the same maternity hospital, during the same two periods, the number of cases of abruptio placentae and renal cortical necrosis went from 1,091 to 630 and from 6 to 1, respectivelyl. These data reflect the low incidence of pregnancy-related ARF. In other countries, however, the incidence of severe ARF in pregnancy is still high, for instance in northern India2. At the Mustapha Hospital, Algiers, pregnancy-related ARF represented approximately 20% of all causes of ARF between 1979 and 1983, and this percentage is similar to that found from 1966 to 1978 (Drs. A.Merouani and M. Drif, personal oommunication).

Keywords

Acute Renal Failure Acute Tubular Necrosis Acute Pyelonephritis Amniotic Fluid Embolism Cortical Necrosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    J.F. Donohoe, Acute bilateral cortical necrosis, in: “Acute Renal Failure”, B.M. Brenner and J.M. Lazarus, eds., W.B. Saunders, Philadelphia (1983).Google Scholar
  2. 2.
    K.S. Chugh, P.C. Singhal, V.K. Kher,et al., Spectrum of acute cortical necrosis in Indian patients, Am. J. Med. Sci. 286: 10 (1983).PubMedCrossRefGoogle Scholar
  3. 3.
    M.D. Lindheimer, A.I. Katz, D. Ganeval, et al., in: “Acute Renal Failure”, B.M. Brenner and J.M. Lazarus, eds., W.B. Saunders, Philadelphia (1983).Google Scholar
  4. 4.
    L.K. Atkinson, T.H.J. Goodship, and M.K. Ward, Acute renal failure associated with acute pyelonephritis and consumption of non-steroidal anti-inflammatory drugs, Brit. Med. J. 292: 97 (1986).CrossRefGoogle Scholar
  5. 5.
    J.P. Grünfeld, D. Ganeval, and F. Bournérias, Acute renal failure in pregnancy, Kidney Int. 18: 179 (1980).PubMedCrossRefGoogle Scholar
  6. 6.
    N. Pertuiset, D. Ganeval, and J.P. Grünfeld, Acute renal failure in pregnancy: an update, Sem. Nephrol. 4: 232 (1984).Google Scholar
  7. 7.
    M.M. Kaplan, Current concepts: acute fatty liver or pregnancy. N. Engl. J. Med. 313: 367 (1985).PubMedCrossRefGoogle Scholar
  8. 8.
    P.J. Pockros, and T.B. Reynolds, Acute fatty liver of pregnancy, Dig. Dis. Sci. 30: 601 (1985).CrossRefGoogle Scholar
  9. 9.
    D. Kleinknecht, J.P. Grünfeld, P. Cia-Gomez, et al., Diagnostic procedures and long-term prognosis in bilateral renal cortical necrosis, Kidney Int. 4: 390 (1973).PubMedCrossRefGoogle Scholar
  10. 10.
    J.P. Hayslett, Current concepts: postpartum renal failure, N. Engl. J. Med. 312: 1556 (1985).PubMedCrossRefGoogle Scholar
  11. 11.
    B.T. Steele, J. Goldie, I. Alexopoulou, et al., Postpartum haemolytic uraemic syndrome and verotoxin-producing Escherichia coli, Lancet 1: 511 (1984).PubMedCrossRefGoogle Scholar
  12. 12.
    K.N. Drummond, Hemolytic uremic syndrome - then and now. N. Engl. J. Med. 312: 116 (1985).Google Scholar
  13. 13.
    F.A. Siddiqui, and E.C.-Y. Lian, Novel platelet-agglutinating protein from a thrombotic thrombocytopenic purpura plasma, J. Clin. Invest. 76: 1330 (1985).PubMedCrossRefGoogle Scholar
  14. 14.
    G. Remuzzi, and E.C. Rossi, The hemolytic uremic syndrome. Intern. J. Artif. Organs 8: 171 (1985).Google Scholar
  15. 15.
    S.T.S. Durrant, P. Joosten, and E.C. Gordon-Smith, Nafazatrom in treatment of thrombotic thrombocytopenic purpura, Lancet 2: 842 (1985).PubMedCrossRefGoogle Scholar
  16. 16.
    S. Rasmussen, M. Brahm, M. Damkjaer Nielsen, et al., Postpartum renal failure and malignant hypertension treated with captopril, Scand. J. Urol. Nephrol. 17: 209 (1983).PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1987

Authors and Affiliations

  • Jean-Pierre Grünfeld
    • 1
  • Nathalie Pertuiset
    • 1
  1. 1.Département de NéphrologieHôpital NeckerParisFrance

Personalised recommendations