Obstetrical acute renal failure.

The gravidic acute renal failure (ARF) becomes a rare complications of the pregnancy in the industrialized countries, whereas it is still frequent in the developing countries and responsible of great maternofetal morbidity an d mortality. We studied the etiologic and evolutive aspects of the gravidic ARF in 55 patients during 18 years (1981-1998) at the department of nephro logy, hospital center Ibn Rochd in Casablanca. The gravidic ARF represents 65% of the gravidic patients. The mean age of the patients is 30,92 +/- 6,4 4 years old. The mean parity is 3,38 +/- 2,25. The mean terme is 31,73 +/- 10,02 weeks of amenorrhea. The main etiology is the preeclampsia and eclamp sia: 41 patients(74,5%); the other causes are; the septic conditions: 6 pat ients (11%); the obstetrical hemorrhages: 4 patients (7,2%); the in uterofe tal death: 3 patients (5,5%) and the post-cesarotomy: 1 patient (1,8%). 74, 6% of the patients has been hemodialysed. The evolution has been characteri zed by the normal recuperation of the renal function is 48 patients (87,3%) , a chronic renal failure in 2 patients (3,6%) and the death of 5 patients (mortality: 9,1%). The gravidic ARF is still a critical circumstances assoc iated to a severe prognosis as well as in the woman and the fetus. So, the most effective measures are still the prevention and the managing of the ob stetrical complications.