Abstract
During the past 20 years, a changing pattern has been observed in acute renal failure (ARF) complicating pregnancy. During the decade 1960–1970, most cases were due to septic abortion, and a great majority of patients had a potentially recoverable lesion. During the following decade, the incidence of septic abortion progressively declined in industrialized countries, due to more liberal abortion laws and the availability of contraceptives. In parallel, there was also a reduction in pre- and postpartum accidents occurring in late pregnancy, due to earlier detection and better management of obstetric complications [1]. Consequently, the total percentage of obstetrical patients with ARF fell from 40% in 1965 to 4% in 1980 [1-4] (table 17-1). According to Lindheimer and Katz [5], ARF occurs in one of every 2,000 to 5,000 pregnancies; but several years ago, the Department of Obstetrics at the Foch Hospital in Suresnes, France, recorded no cases of ARF among 12,000 delivered women, 2,041 of whom followed high-risk pregnancies [1]. As stated by Chapman and Legrain [1], obstetrics is probably the field in which the most striking progress has been made in ARF.
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Kleinknecht, D., Bochereau, G., Chauveau, P. (1984). Acute Renal Failure in Pregnancy. In: Andreucci, V.E. (eds) Acute Renal Failure. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2841-4_17
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DOI: https://doi.org/10.1007/978-1-4613-2841-4_17
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