Obstetric outcomes in pregnant women with renal involvement in social security patients during 2019-2022
DOI:
https://doi.org/10.70108/nefrologiapy.2024.2.1.10Keywords:
acute kidney injury, pregnancy, social securityAbstract
Introduction: Pregnancy-related acute kidney injury has a significant impact on maternal and fetal morbidity and mortality.
General Objective: Identify the factors associated with fetal, maternal, and renal outcomes in pregnant women who develop acute kidney injury or exacerbation of chronic kidney disease.
Materials and methods: Observational, descriptive, retrospective, cross-sectional study, cohort of pregnant women who have developed acute kidney injury or exacerbation of chronic kidney disease admitted to the Social Security Central Hospi- tal. Somatometric, demographic, and clinical data, days of hospitalization, and ob- stetric and biochemical data were collected at the beginning and end of pregnancy.
Results: 90 patients, 30 years old (SD ± 5.51), normal BMI, Central Department, university student, GFR, and proteinuria (p<0.05). EHE, GD, pyelonephritis, fetal death 16%, cesarean section 71%.
Conclusions: Fetal delivery is 16% in the studied population.
Downloads
Metrics
References
(1) Liu Y, Ma X, Zheng J, Liu X, Yan T. Pregnancy outcomes in patients with acute kidney injury during pregnancy: a systematic review and meta-analysis. BMC Pregnancy Childbirth. diciembre de 2017;17(1):235.
(2) Shah S, Verma P. Pregnancy-Related Acute Kidney Injury: Do We Know What to Do? Nephron. 2023;147(1):35-8.
(3) Szczepanski J, Griffin A, Novotny S, Wallace K. Acute Kidney Injury in Pregnancies Complicated With Preeclampsia or HELLP Syndrome. Front Med. 7 de febrero de 2020;7:22.
(4) Kristensen JH, Basit S, Wohlfahrt J, Damholt MB, Boyd HA. Pre-eclampsia and risk of later kidney disease: nationwide cohort study. BMJ. 29 de abril de 2019;l1516.
(5) Fontalvo Díaz NM, Torres Zavala BM, Vélez Páez JW. Preeclampsia-eclampsia como factor de riesgo para el desarrollo de enfermedad renal crónica: Un estudio observacional de centro único, 11 años de seguimiento. Rev Soc Ecuat Nefrol Diálisis Traspl. 30 de septiembre de 2022;10(2):90-6.
(6) Wiles K, Webster P, Seed PT, Bennett-Richards K, Bramham K, Brunskill N, et al. The impact of chronic kidney disease Stages 3–5 on pregnancy outcomes. Nephrol Dial Transplant. 9 de noviembre de 2021;36(11):2008-17.
(7) Gjerde A, Reisæter AV, Skrunes R, Marti HP, Vikse BE. Intrauterine Growth Restriction and Risk of Diverse Forms of Kidney Disease during the First 50 Years of Life. Clin J Am Soc Nephrol. 7 de octubre de 2020;15(10): 1413-23.
(8) Crump C, Sundquist J, Winkleby MA, Sundquist K. Preterm birth and risk of chronic kidney disease from childhood into mid-adulthood: national cohort study. BMJ. 1 de mayo de 2019;l1346.
(9) Gleeson S, Svetitsky S, Frise C. Diabetic kidney disease and pregnancy outcomes: a systematic review. Br J Diabetes [Internet]. 20 de octubre de 2021 [citado 28 de febrero de 2023]; Disponible en: https://bjd-abcd.com/ index.php/bjd/article/view/729
(10) Lian XJ, Fan L, Xia X, Huang XM, Ye HJ, Yu XQ, et al. Fetal and maternal outcome in patients with active lupus nephritis: comparison between new-onset and pre- existing lupus nephritis. BMC Nephrol. diciembre de 2021;22(1):419.
(11) Grillo MA, Mariani G, Ferraris JR. Prematurity and Low Birth Weight in Neonates as a Risk Factor for Obesity, Hypertension, and Chronic Kidney Disease in Pediatric and Adult Age. Front Med. 3 de febrero de 2022;8:769734.
(12) Avagliano L, Massa V, Bulfamante G. Meconium- stained amniotic fluid and histologic signs of fetal distress in stillbirths. Eur J Obstet Gynecol Reprod Biol. noviembre de 2021;266:55-62.
(13) Chiruvolu A, Fine S, Miklis KK, Desai S. Perinatal risk factors associated with the need for resuscitation in newborns born through meconium-stained amniotic fluid. Resuscitation. abril de 2023;185:109728.
(14) Kobayashi S. Avaliação ultra-sonográfica do volume do líquido amniótico. Radiol Bras. diciembre de 2005; 38(6):V-VI.
(15) Monterrosa Robles M, Rico Fontalvo J, Daza Arnedo R, Pérez Olivo J, Cardona Blanco M, Pájaro Galvis NE, et al. Lesión renal aguda en la mujer embarazada. Rev Colomb Nefrol. 10 de noviembre de 2020;8(1):e513.
(16) Víquez Víquez M, Chacón González C, Rivera Fumero S. Infecciones del tracto urinario en mujeres embarazadas. Rev Medica Sinerg. 1 de mayo de 2020;5(5):e482.
(17) Lim C mi, Choi MJ, Jeon H rin, Jung S young, Kim S young. Maternal and Perinatal Outcomes in Pregnancy by Chronic Kidney Disease Stage Based on Midterm Glomerular Filtration Rate. Perinatology. 2020;31(2):74.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Juan Acosta, María del Carmen Romero, Roger Ayala, Daría Cueva
This work is licensed under a Creative Commons Attribution 4.0 International License.