Correlation of obstetrical renal failure with maternal outcome in patients with placental abruption

Objectives: to determine the frequency of obstetrical renal failure and its correlation with maternal outcome in patients with placental abruption. patients and methods: the cross section study was carried out at the department of obstetrics and gynecology,lady reading hospital peshawar for a period of one year from 1st july 2011 to 30th june 2012. sample size was 100 patients. the study population included all cases presenting with ante partum hemorrhage to the department of obstetrics and gynecology. results: this study included 100 patients of placental abruption with ages ranged from 18 to 45 with a mean age of 31.55±6.21 years. the parity distribution showed 90 patients (90%) having multiparty. the gestational ages ranged from 28 to 40weeks with a mean of 33.81±3.64 weeks. distribution of gestational ages showed 44 cases (44%) in the term group,while 56 cases (56%) in the preterm group. there were 7 maternal deaths,showing case fatality rate of 7%. haemoglobin levels of mothers ranged from 4.0-11.0 gm/dl,with a mean of 7.9±1.1gm/dl. the correlation between maternal outcome and renal failure due to placental abruption was statistically significant with p-value of 0.002. conclusion: obstetrical renal failure due to placental abruption leading to maternal mortality is an alarming scenario that can only be prevented by provision of multidisciplinary approach considering maternal and fetal complications and timely involvement.