{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:35:52Z","timestamp":1789572952695,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,5,30]],"date-time":"2017-05-30T00:00:00Z","timestamp":1496102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012902","name":"SPHMMC","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012902","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the clinical profile and outcomes of women with pregnancy\u2010related acute kidney injury (<jats:styled-content style=\"fixed-case\">AKI<\/jats:styled-content>) undergoing dialysis at Saint Paul's Hospital Millennium Medical College, Addis Ababa, where the first publicly funded large\u2010scale dialysis service in Ethiopia was established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a hospital\u2010based retrospective study, clinical records were reviewed for all women with pregnancy\u2010related <jats:styled-content style=\"fixed-case\">AKI<\/jats:styled-content> attending the hemodialysis unit at the study center between August 2013 and July 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 42 pregnant women with pregnancy\u2010related <jats:styled-content style=\"fixed-case\">AKI<\/jats:styled-content> underwent dialysis. Their mean age was 28.9\u00a0\u00b1\u00a05.9\u00a0years. The most common cause of pregnancy\u2010related <jats:styled-content style=\"fixed-case\">AKI<\/jats:styled-content> was pre\u2010eclampsia or eclampsia (31\/42, 74%), followed by puerperal sepsis (6\/42, 14%). The mean number of dialysis sessions was 4.8\u00a0\u00b1\u00a04.6; the most common indication for dialysis was refractory fluid overload (35\/42, 83%). Overall, 35 (83%) women were discharged with improvement, 5 (12%) died, and 2 (5%) absconded. Of the five maternal deaths, three women had pre\u2010eclampsia\u2010related <jats:styled-content style=\"fixed-case\">AKI<\/jats:styled-content> and two had puerperal sepsis\u2010related <jats:styled-content style=\"fixed-case\">AKI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hypertensive disorders of pregnancy were the leading cause of pregnancy\u2010related <jats:styled-content style=\"fixed-case\">AKI<\/jats:styled-content>, which can be easily prevented with early diagnosis and timely intervention. Improving the quality of prenatal care to recognize hypertensive disorders during pregnancy, coupled with prompt management, might help to reduce maternal morbidity and mortality related to <jats:styled-content style=\"fixed-case\">AKI<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12201","type":"journal-article","created":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T13:48:42Z","timestamp":1494337722000},"page":"138-141","source":"Crossref","is-referenced-by-count":4,"title":["Profile and outcomes of women with pregnancy\u2010related acute kidney injury requiring dialysis at a center in Ethiopia"],"prefix":"10.1002","volume":"138","author":[{"given":"Delayehu","family":"Bekele","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Saint Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Momina","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nephrology Unit Saint Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Moyale Hospital  Moyale Oromia Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seman","family":"Kedir","sequence":"additional","affiliation":[{"name":"Department of Public Health Saint Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Medicine Critical Care Boston Children's Hospital Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,30]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Comprehensive Clinical Nephrology","author":"Floege J","year":"2010"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/08860229609047680"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joad.2015.08.002"},{"key":"e_1_2_8_5_1","volume-title":"Ethiopia Demographic and Health Survey 2011","author":"Central Statistical Agency [Ethiopia] and ICF International","year":"2012"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/1319-2442.135215"},{"key":"e_1_2_8_7_1","first-page":"253","article-title":"AKI of obstetric origin","volume":"108","author":"Chugh KS","year":"1976","journal-title":"J Obstet Gynecol"},{"key":"e_1_2_8_8_1","first-page":"79","article-title":"Acute renal failure in Addis Ababa, Ethiopia: A prospective study of 136 patients","volume":"32","author":"Zewdu W","year":"1994","journal-title":"Ethiop Med J"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.5301\/jn.5000058"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.5812\/numonthly.1608"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.5402\/2013\/109034"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0682-8"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/08860229709026279"},{"key":"e_1_2_8_14_1","first-page":"148","article-title":"Pregnancy\u2010related acute renal Failure in the southeast region of Turkey: Analysis of 75 cases","volume":"37","author":"Erdemo\u011flu M","year":"2010","journal-title":"Clin Exp Obstet Gynecol"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.01.069"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12201","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12201","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T10:03:07Z","timestamp":1696240987000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,30]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1002\/ijgo.12201"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12201","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,30]]}}}