Impact of Pregnancy Related Acute Kidney Injury on foetalsurvival: a single Centre Experience in Kenya

JM.Kivai, Kayima JK, Were AO, Q.Zahida. "Impact of Pregnancy Related Acute Kidney Injury on foetalsurvival: a single Centre Experience in Kenya." IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2019;18(7):13-17.


Abstract: Background: Pregnancy related acute kidney injury (PRAKI) is a heterogenous obstetric
complication, which can occur at any stage during pregnancy and in postpartumperiod. It often impacts
negatively on foetaloutcomes.
Objective: To determine impact of PRAKI on foetal outcomes at Kenyatta National Hospital (KNH), Nairobi.
Methods: We carried out a descriptive study on women with viable pregnancies, gestation age equal to, or
above 28 weeks and postpartum women within six weeks after delivery admitted in labour ward or the postnatal
wards at KNH. The study started afterit was approved by the KNH- University of Nairobi Ethics and
Research Committee.Patient management was at the discretion of attending clinician.Data was obtained
fromthe participants and their medical records. Followupwas until dischargeor for a maximum of two weeksfor
those who remained in the wards.
Results: Total participantswere 66 out of2068 admissions. Their mean age was 28years with peak age between
26-30 years.The prevalence of PRAKI was 3.2%. Sixty (91%) participants weredelivered andsix pregnancies
were ongoing past the follow-up period.The average gestation age at birth was 35 weeks. Forty-three (71.7%)
were life infants while 17(28.3%) were fresh still births. Comparing between participant women with PRAKI
and women without PRAKI, the ratio of fresh still births among participants was 1:4 and the ratio of fresh still
births among women without PRAKI was 1 in 23deliveries.
Conclusion: Wetherefore demonstrate that pregnancy related acute kidney injury was associated with a six (6)
fold increase in fresh still births at Kenyatta National Hospital in Kenya.
Key Words: PRAKI, KNH, Preterm births,Fresh still births,Nairobi, Kenya


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