Questions to be answered What is the incidence of AKI in our obstetric unit?

1. Acute Kidney Injury in Pregnancy; experience from a Large Tertiary Care Referral Centre Alexandra Mihalache, Oier Ateka, Inês Palma Reis, Kate Harding, Catherine Nelson-Piercy, Anita Banerjee Women’s Health Directorate, St Thomas’ Hospital, Guy’s and St Thomas’ NHS Foundation Trust, England, UK • Background • AKIN classification is not validated in pregnancy • Creatinine is known to fall in pregnancy • Creatinine rise >90mmol/L has been shown to be indicative of renal impairment in pregnancy B A Table I Demographics, 19% had chronic kidney disease causes of AKI in pregnancy • Questions to be answered • What is the incidence of AKI in our obstetric unit? • What are the common causes of AKI in pregnancy? • How is AKI managed on the obstetric unit? D D C Table II The characteristics of the AKI population Table IV: Common causes of AKI in pregnancy • Methodology • 2011 retrospective data collection of deliveries at St Thomas’ Hospital • Through pathology system all cases with creatinine >90mmol/L identified • Data collection through review of medical notes • 95 collected notes from 6518 deliveries • Summary • The incidence of AKI is 1.4% in our obstetric unit • Common causes of AKI: PET & PPH • AKI was recognised in <50% cases • Not all AKI had improved prior to discharge • Conclusion More understanding of AKI in obstetric units is required Table III The renal function recovery at discharge in this population