Acute renal injury in expectant mothers in the intensive care unit of Hospital Universitario, Neiva, 2010-2012

Abstract

The treatment of obstetric patients aims to decrease morbidity and mortality and have positive results at the end of pregnancy whilst reducing the risk of complications, the development of chronic illnesses or possible aftereffects for the mother and baby. This demonstrates the importance of detecting acute renal injury in critically ill obstetric patients being cared for in the gynaecologicalobstetric intensive care unit in Hospital Universitario, Neiva. A descriptive and retrospective study based on case studies was conducted. It was found that 47.8% of patients were first-time mothers and 11.7% presented acute renal injury, with an average age of 25.3 years 95% CI. 52.5% had previously been diagnosed as being at high obstetric risk. The average gestational age was 35.6 weeks 95% CI. 34% suffered from severe pre-eclampsia, 48.7% were classified as AKIN 1, oliguria was present in 23.9%, 13% required haemodialysis whilst 4.3% of cases ended in death. This demonstrates the importance of continuous monitoring of young first-time mothers at high obstetric risk who are in the third trimester of pregnancy or immediately after the birth and are hospitalised in intensive care units with abnormal levels of creatinine and urine and diagnosed with severe pre-eclampsia.