ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005


The Latest on X

Kidney Week

Please note that you are viewing an archived section from 2022 and some content may be unavailable. To unlock all content for 2022, please visit the archives.

Abstract: TH-PO076

Pregnancy Associated AKI: An 8-Year Study From South India

Session Information

Category: Acute Kidney Injury

  • 102 AKI: Clinical‚ Outcomes‚ and Trials


  • Bantewad, Devidas Shankar, Gandhi Hospital, Secunderabad, Telangana, India
  • Yadla, Manjusha, Gandhi Hospital, Secunderabad, Telangana, India

Pregnancy-related acute kidney injury (PRAKI) is a major cause of maternal and fetal morbidity and mortality in developing countries. With improvement in antenatal and postnatal care, the incidence of PRAKI in India has steadily declined from 22% in 1960s to 9% in 1980s, and further down to 3–7% in 2000s.


Aim : To study the clinical characteristics and outcomes of patients with PRAKI
Design : Prospective observational study
Setting : Tertiary Care Government Hospital in Telangana
Period of study : Jan 2014 to May 2022
Methodology : Data collected prospectively from All admitted pregnant and postpartum patients who developed a PRAKI.
Inclusion criteria : All pregnant and postpartum patients who developed a PRAKI.
Exclusion criteria : 1. Evidence of renal disease prior to pregnancy
2. Elevated serum creatinine prior to gestation


A total of 311 patients satisfied inclusion criteria.
Pregnancy related Acute Kidney Injury was 0.32% of total pregnancies in our institute.
The Institutional incidence of pregnancy related Acute Kidney Injury in context of all cases of AKI was 5.88%, out of which dialysis requiring PRAKI incidence was 4.22% at our institute.


1. Incidence of pregnancy related Acute kidney injury in context of overall AKI was 5.88%
2. Most common cause of PRAKI in our study was preeclampsia (43.4%)
3. Sepsis and multisystem involvement was in 74.27 and 21.86% patients respectively.
4. In our institute Maternal mortality was 21.54% and fetal mortality was 47.58%.
5. Total patients receiving RRT was 223 (71.70%) while 88 (28.29%) patients was managed conservatively.