うつ病と不安に関するジャーナル
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概要

Acute Kidney Injury Epidemiological Aspects in Gravido-Puerperal Period in Parakou

Hounkponou NFM, Ahoui S, Obossou AAA*, Ahouingnan AY, Bankole BAL, Laourou H, Gbevo S, Vodouhe M, Aboubakar M, Imorou RS, Bagnan JAT, Salifou K and Akpona S

Introduction: Pregnancy related Acute Kidney Injury (AKI) accounts for a heavy fetal and maternal mortality and morbidity. Objective: The purpose is to study the epidemiological aspects of Acute Kidney Injury in gravido-puerperal period.

Patients and method: It was a cross-sectional, descriptive and analytical study conducted in the city of Parakou from 1st March to 31st August 2016. Data collection was carried out on prospective basis. Patients included in the study were new and expectant mothers to day 41 post-partum seen in hospital with the concept of previously normal kidney function. Acute Kidney Injury (AKI) is defined according to the criteria of Acute Kidney Injury Network (AKIN) by elevated serum creatinine 3 mg/l or 1.5x baseline serum creatinine.

Results: Among 324 women included in the study, there were 38 cases of AKI representing 11.73%. The mean age was 24.15 ± 6.55 years with 15 and 44 as extremes. The age group 20-25 years represented 31.56% of cases. 31.56%, 44.71%, 63.12%, 31.56% and 31.56% of the women respectively had secondary education, were crafts women, bigravida, nulliparous and biparous. 47.34% of the respondents were in the 3rd quarter of pregnancy, 55.23% had poor fruits and vegetables diet, 57.86% took herbal tea regularly, 55.23% were physically inactive during gestational period, 36.82% developed hyperemesis gravidarum, 44.71% had oliguria, 42.08% high blood pressure and 28.93% proteinuria. Proteinuria prevalence was significantly high in women with edema (45.68% with p=0.000).

Conclusion: AKI is frequent in gravido-puerperal period in Parakou. It is a multifactorial disorder which requires special care through screening.