Aim: In this study, the reason of the acute renal failure (ARF)
clinic features and results of it has examined as retrospectively.
Methods: In this study, the etiology, clinical features and outcome of
acute renal failure (ARF) evaluted retrospectively in the Anatolian
region of Turkey. Above mentioned features were examined
retrospectively in 36 ARF cases (mean age 31.6±6.8, range 17-46),
related to pregnancy between 1997 and 2001. Results: The ARF has
developed approximately on the 30th gestational week. The reasons of
ARF were; HELLP Syndrome and preclampsia (44%) in 16 cases, postpartum
hemorrhage in 7 cases (19%), placenta detachment in 5 cases (14%),
septic or spontaneous abortion in 5 cases (14%), and eclampsia in 3
cases. The 5 cases related to the abortion were seen (14%) in the first
trimester and others were developed (86%) in the third trimester or
postpartum period. In 9 cases (25%) there were intrauterine dead. In 24
of the ARF cases (67%) had hypertension at the time of the diagnosis
whereas six cases (17%) had hypotension related to the vaginal
bleeding. All cases had oliguria and the avarage duration was
4.8±8.7 (2-27) days. The avarage of the staying period in the
hospital was 11.7 ±7.6 ( 4-28 )days. Hemodialysis was applied to
17 cases (47%), and not needed for 19 cases (53%). Conclusion: ARF
related to the pregnancy was seen commonly in the third or the later
pregnancies and the most common reasons were HELLP Syndrome, placenta
detachment, and postpartum hemorrhage and resulted in a high risk
condition for fetal and maternal mortality therefore, we think that the
number of the pregnancies should be limited and especially multipar
pregnancies must be closely controlled for ARF