Prevalence of postpartum acute kidney injury among patients undergoing hemodialysis at Edward Francis Small Teaching hospital

Abstract

BackgroundPostpartum acute kidney injury is a critical condition that can pose a great challenge to the health of pregnant women and can have fatal consequences (Patel, Rekha Sachan, Radheshyam, and Pushpalata Sachan, 2013) ObjectiveThe main objective is to find out the prevalence of acute kidney injury among patient undergoing hemodialysis treatment at EFSTH. MethodologyThe research is a retrospective cross-sectional study in which the data was collected from the main register of the hemodialysis unit. The sample includes patients diagnosed with postpartum acute kidney injury from January 2018 to December 2019. A checklist was used as a guide for the data collection on the age, gravida, parity causes and outcomes of hemodialysis treatment. SPSS version 20 was used to analyze the data and the results. Ethical approval was sought from the EFSTH research and ethical committee. ResultsThe main finding of the study has shown that the prevalence rate of postpartum acute kidney injury is 23 (21.3%). The mean age of the patients diagnosed with postpartum related acute kidney injury was 29.22 while the mean parity was 3.3. The youngest patient was 15 years old and the oldest patient was 40 years of age. The majority of the patients are multigravida 18 (78.3%). Pre-eclampsia, as a cause was found, to constitute more than half of the postpartum acute kidney injury constituting about 12 (52.2). Maternal mortality among the group was 5(21.7%). The rest of the patients 11(47%) successfully regain renal function and were discharged. There was no a significant relationship between the causes of acute kidney injury and the outcomes as well as the gravidas and outcomes with p values more than 0.05. ConclusionThere is a high prevalence of postpartum acute kidney injury among patient undergoing hemodialysis treatment in EFSTH.