Pregnancy Related Acute Kidney Injury: Is Puerperal Sepsis Stills A Major Threat?

Acute kidney injury represents a challenging clinical condition occurring during pregnancy. The worldwide incidence of pregnancy-related acute kidneyinjury (PRAKI) has decreased markedly in the past 50 years from 20–40% in 1960 to less than 10% in the current series through the legalization of abortion and improvement of antenatal and obstetric care.[1] In the recent years, the incidence of PRAKI has decreased in developed countries to only 1% to 2.8%. It is a rare complication of pregnancy following the disappearance of septic abortion and a better perinatal care .However, PRAKI is still frequent in developing countries; the incidence is around 4.2–15% [2] .Caring for women diagnosed with acute kidney injury is a real challenge for nephrologists and all the medical team. The aim of this study is to investigate the characteristics of PRAKI and determine the factors associated to unfavourable evolution of kidney injury.