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Acute Kidney Injury During Pregnancy

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Obstetric Catastrophes

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Abstract

The term AKI almost replaces the acute renal failure terminology in all recent literature and reflecting that even a smaller decline in kidney function is of substantial clinical relevance due to associated morbidities and mortality (Van Hook , Clin Obstet Gynecol 57:851–861, 2014).

There are multiple etiological factors during pregnancy that can lead to pregnancy-related acute kidney injury (PR-AKI), and it can happen at any time throughout pregnancy and the postpartum period. This terminology (PR-AKI) reflects a critical obstetric complication that is associated with significant maternal and fetal morbidity and mortality. Although the incidence of PR-AKI declined worldwide in the last six decades, a report was showing a recent shift in the occurrence of this disease. With advanced service management in obstetric care, PR-AKI incidence has been reduced from 1/3000 to 1/20000 since the 1960s (Gammill, Jeyabalan, Crit Care Med 33:S372–S384, 2005). Addressing the physiological adaptations during pregnancy and labor of the renal system is essential for proper approaching and management of PR- AKI and can prevent further sequelae of comorbidities. With a full recovery rate ranging from 60% to 90% after an AKI episode (Odutayo, Hladunewich, Clin J Am Soc Nephrol 7(12):2073–2080, 2012).

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Author information

Authors and Affiliations

  1. Cardiac Intensive Care Institute of Critical Care – Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE

    Ahmed Reda Taha

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  1. Ahmed Reda Taha
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Editors and Affiliations

  1. Critical Care Obstetrics Unit, Hospital Doctor Arnulfo Arias Madrid, Panama City, Panama

    Carlos Montufar

  2. Division of Critical Care, Karl Heusner Memorial Hospital, Belize City, Belize

    Jorge Hidalgo

  3. Houston Center for Maternal-Fetal Medicine, Houston, TX, USA

    Alfredo F. Gei

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Taha, A.R. (2021). Acute Kidney Injury During Pregnancy. In: Montufar, C., Hidalgo, J., Gei, A.F. (eds) Obstetric Catastrophes. Springer, Cham. https://doi.org/10.1007/978-3-030-70034-8_43

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  • DOI: https://doi.org/10.1007/978-3-030-70034-8_43

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