Author(s)

Ibrahima Koussy Bah¹, Fousseny Diakite^2*, Mamadou Saliou Baldé², Abdouramane Diallo¹, Mamadou Yacine Bah¹, Amadou Yaya Diallo², Alpha Boubacar Bah², Moussa Traore², Telly Sy Diallo¹, Alpha Oumar BaH²

¹Unit of Gyneco-Obstetric of the National Hospital Ignace Deen, Conakry, Guinea.
²Unit of Nephrology-Hemodialysis of the National Hospital Donka, Conakry, Guinea.

Introduction: In Guinea, data on the acute kidney injury (AKI) of women in the obstetrical context is still limited. This study attempted to determine the prevalence and the clinical signs of obstetric AKI in Guinea. Patients and methods: The study population consisted of pregnant or postpartum women with AKI, whom we treated in this institute from August 2018 to January 2019. All had normal anterior renal function with serum creatinine clearance ≥ 120 μmol/L, and then suffered AKI. Patients characteristics were examined; maternal age, gestational weeks, AKI characteristics. Results: Of 2438 pregnant women admitted during the study period, 56 showed AKI. Antepartum and postpartum AKI accounted for approximately 80% and 17%, respectively. Regarding the maternal age, <25 years of age accounted for 54% (range: 17 - 40). Multiple gestations accounted for 34 (60.71%) of which functional AKI, organic AKI, and obstructive AKI accounted for 28/34, 2/34, and 4/34, respectively. Regarding the clinical manifestations, abdominal pain, tinnitus, visual disturbances, edema of the lower limb, and facial swelling accounted for 79%, 75%, 7%, 57%, and 54%, respectively. Conclusion: We here demonstrated peripartum AKI in Guinea, which findings may provide fundamental data to establish some strategy against this condition in this region.

Obstetric AKI, Epidemiological and Clinical Aspects, Ignace Deen Conakry

Bah, I. , Diakite, F. , Baldé, M. , Diallo, A. , Bah, M. , Diallo, A. , Bah, A. , Traore, M. , Diallo, T. and BaH, A. (2020) Obstetrical Acute Kidney Injury: Epidemiology and Clinical Aspects in Teaching Hospital of Ignace Deen, Conakry Guinea. Case Reports in Clinical Medicine, 9, 35-39. doi: 10.4236/crcm.2020.91006.