THE ACUTE RENALE INSUFFICIENCY OF THE POST PARTUM: RETROSPECTIVE STUDY ON 102 CASES

Abstract

Postpartum acute renal failure (ARI) remains a common condition that is one of the main causes of morbidity and mortality for the mother and the fetus. It is defined by its occurrence in a period extending from childbirth up to three months. In general, it shares the same etiologies as ARI in the third trimester of pregnancy which are: Pre-eclampsia, eclampsia associated or not with Hellp syndrome, retro-placental hematoma, hemorrhage of delivery, fetal death in utero, urinary tract infection. The objective of this work is to study the epidemiological, clinical, para-clinical, and prognostic profile of postpartum renal insufficiency to improve the management of this pathology in order to reduce maternal and perinatal mortality and to propose actions to improve care. The results of this study are carried out on 102 cases collected from the nephrology-hemodialysis service of the CHN and the Maternity service over a period of 4 years. The prevalence of postpartum ARI is high in our country (6.09% in our series). Acute tubular necrosis was found in 100% of the cases. The etiologies were dominated by pre-eclampsia (63 cases or 61.76%) followed by hemorrhages 38.23% of cases. The evolution was favorable with healing in forty one patients (40.19%). In addition, the unfavorable development was noted in sixty one patients(59.80%).