{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T14:39:45Z","timestamp":1785940785764,"version":"3.56.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,9,25]],"date-time":"2010-09-25T00:00:00Z","timestamp":1285372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To study the causes, burden, and impact of pregnancy\u2010related acute renal failure (PRARF) in a low\u2010resource setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective observational study of consecutive women admitted to the Seth Sukhlal Karnani Memorial Hospital, Kolkata, India, with PRARF between February 1, 2007, and May 31, 2009, was conducted. The information collected included causes and predisposing conditions leading to PRARF, clinical presentations, medical and obstetric management\u2014including need for dialysis\u2014and maternal outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The leading causes of PRARF among the 57 participants were sepsis 19 (33.3%), hemorrhage 16 (28.1%), and hypertensive disorders 15 (26.3%). The condition occurred in 11 (19.3%) cases before 20 weeks of gestation, 6 (10.5%) cases after 20 weeks of gestation, and 40 (70.2%) cases during puerperium. Most women were from rural areas and received inadequate prenatal care. Although 40 women had PRARF during puerperium, the precipitating event mostly started during the process of labor\/delivery. Despite multidisciplinary care, mortality was high (28.1%); cause\u2010specific fatality was highest with sepsis (36.8%) and hemorrhage (25.0%). Many women who survived experienced prolonged morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pregnancy\u2010related acute renal failure is potentially fatal but largely preventable. Universal prenatal care and greater access to emergency obstetric services, especially in rural India, could avert PRARF and its consequences.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2010.06.026","type":"journal-article","created":{"date-parts":[[2010,9,27]],"date-time":"2010-09-27T13:41:25Z","timestamp":1285594885000},"page":"213-216","source":"Crossref","is-referenced-by-count":29,"title":["Pregnancy\u2010related acute renal failure in eastern India"],"prefix":"10.1002","volume":"111","author":[{"given":"Nalini","family":"Arora","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirti","family":"Mahajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narayan","family":"Jana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijit","family":"Taraphder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,9,25]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"417","volume-title":"Acute renal failure","author":"Lindheimer M.D.","year":"1993"},{"issue":"272","key":"e_1_2_6_3_2","first-page":"1117","article-title":"Changing trends in acute renal failure in third\u2010world countries\u2014Chandigarh study","volume":"73","author":"Chugh S.","year":"1989","journal-title":"Q J Med"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/08860220600583658"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/0971-4065.41283"},{"issue":"1","key":"e_1_2_6_6_2","first-page":"36","article-title":"Changing trends in pregnancy related acute renal failure","volume":"52","author":"Rani P.U.","year":"2002","journal-title":"J Obstet Gynecol India"},{"issue":"4","key":"e_1_2_6_7_2","first-page":"308","article-title":"Pregnancy related acute renal failure","volume":"56","author":"Kumar K.S.","year":"2006","journal-title":"J Obstet Gynecol India"},{"issue":"2","key":"e_1_2_6_8_2","first-page":"61","article-title":"Acute renal failure in pregnancy: one year observational study at Liaquat","volume":"58","author":"Ansari M.R.","year":"2008","journal-title":"J Pakistan Med Assoc"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/08860229609047694"},{"issue":"6","key":"e_1_2_6_10_2","first-page":"642","article-title":"Acute renal failure of obstetric origin","volume":"48","author":"Chugh K.S.","year":"1976","journal-title":"Obstet Gynecol"},{"issue":"6","key":"e_1_2_6_11_2","first-page":"227","article-title":"Renal cortical necrosis in pregnancy\u2010related acute renal failure","volume":"94","author":"Prakash J.","year":"1996","journal-title":"J Indian Med Assoc"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0218.55268"},{"issue":"1","key":"e_1_2_6_13_2","first-page":"21","article-title":"Status of maternal and new born care at first referral units in the state of West Bengal","volume":"48","author":"Biswas A.B.","year":"2004","journal-title":"Indian J Public Health"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.3109\/08860229509026251"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.3109\/08860229809045140"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.3109\/08860229609047680"},{"key":"e_1_2_6_17_2","volume-title":"National Family Health Survey (NFHS\u20103), India, 2005\u20132006","author":"International Institute for Population Sciences (IIPS) and ORC Marco","year":"2007"},{"key":"e_1_2_6_18_2","volume-title":"Family Welfare Statiatics in India\u20142006","author":"Ministry of Health and Family Welfare, Government of India","year":"2007"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1783\/147118905774480626"},{"issue":"3","key":"e_1_2_6_20_2","first-page":"411","article-title":"Maternal mortality due to sepsis","volume":"36","author":"Lopez J.A.","year":"1986","journal-title":"J Obstet Gynecol India"},{"issue":"1","key":"e_1_2_6_21_2","first-page":"11","article-title":"Emergency obstetric care\u2014present focus to reduce maternal mortality","volume":"18","author":"Majhi A.K.","year":"2006","journal-title":"Indian J Perinatol Reprod Biol"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1989.tb03282.x"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1980.127"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02332.x"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/15.2.152"}],"container-title":["International Journal of Gynecology &amp; 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