Khaskheli Meharun-Nissa, Baloch Shahla, Sheeba Aneela, Baloch Sarmad, Khan Fahad, Ansari Mohammad Rafique
Dr. Meharun-Nissa Khaskheli, MBBS, FCPS. Associate Professor, Department of Obstetrics & Gynaecology, Liquat Univeristy of Medical & Health Sciences Jamshoro, Sindh, Pakistan.
Dr. Shahla Baloch, MBBS, DGO, FCPS. Associate Professor, Department of Obstetrics & Gynaecology, Liquat Univeristy of Medical & Health Sciences Jamshoro, Sindh, Pakistan.
Pak J Med Sci. 2017 May-Jun;33(3):594-598. doi: 10.12669/pjms.333.12233.
To observe the impact of acute renal morbidities with obstetrical emergencies on maternal health.
In this study pregnant women between 28-40 weeks gestational period and delivered women in their puerperal period up to 42 days after delivery having acute renal problems associated with obstetrical emergencies were included. Pregnant and delivered women with obstetrical emergencies and associated other morbidities were excluded. These women were registered on the predesigned proforma after taking written informed consent and taking approval from institutional ethic research committee. The data was collected and analyzed on SPSS version 21.
Out of these 196 total registered women, majority of these women 81(41.32%) were between 21-30 years of age and multiparous women with parity four and above were 83(42.34%). Commonest presenting symptoms were generalized oedema 123(62.75%) and oligouria 92(46.93%). Frequent obstetrical emergencies observed were pre-eclampsia 53(27.04%), post partum haemorrhage 48(24.48%) and ante partum haemorrhage 36(18.36%) women. The complete recovery was observed in 86(43.87%) women, while mortality was seen in 56(28.57%) women.
Renal morbidities were more frequently observed in obstetrical emergencies leading to high morbidity and mortality rate.
观察产科急症伴发的急性肾脏疾病对孕产妇健康的影响。
本研究纳入孕周在28 - 40周的孕妇以及产后42天内产褥期患有与产科急症相关急性肾脏问题的产妇。排除患有产科急症及其他相关疾病的孕妇和产妇。这些妇女在签署书面知情同意书并获得机构伦理研究委员会批准后，登记在预先设计的表格上。数据采用SPSS 21版进行收集和分析。
在总共登记的196名妇女中，大多数妇女81名（41.32%）年龄在21 - 30岁之间，多产妇女（产次为4次及以上）有83名（42.34%）。最常见的症状是全身水肿123例（62.75%）和少尿92例（46.93%）。观察到的常见产科急症有子痫前期53例（27.04%）、产后出血48例（24.48%）和产前出血36例（18.36%）。86名（43.87%）妇女完全康复，而56名（28.5%）妇女死亡。
在产科急症中更常观察到肾脏疾病，导致高发病率和死亡率。
