Journal of Clinical and Basic Research
Journal of Clinical and Basic Research
jcbr
Medical Sciences
http://jcbr.goums.ac.ir
1
admin
2538-3736
10.52547/jcbr
en
jalali
1399
9
1
gregorian
2020
12
1
4
4
online
1
fulltext
fa
Early Manifestations of Acute Renal Failure in a Pregnant Woman with Diabetes
علوم پایه پزشکی
Basic medical sciences
پژوهشي
Research
<strong>Background</strong>: Diabetes is a major risk factor for acute renal failure, which is commonly seen during pregnancy. Patients with kidney failure are at significant risk for adverse pregnancy outcomes, and pregnancy may accelerate the progression of kidney disease in these patients. We herein report a pregnant woman with early manifestations of kidney failure during pregnancy.<br>
<strong>Case description</strong>: The patient was a 39-year-old G2P1L1 woman with a gestational age of 14 weeks and 4 days who presented with edema and hypoglycemia. The patient had overt pre-orbital edema and less severe generalized edema. Finally, due to the patient's conditions based on diabetes mellitus under insulin therapy, edema, proteinuria and high creatinine level (1.5 mg/dl) in the past two weeks, pregnancy was terminated as recommended by the medical commission and after obtaining informed consent from the patient.<br>
<strong>Conclusion</strong>: Diabetes is an important risk factor for acute renal failure. Women with kidney failure are more likely to experience adverse pregnancy outcomes. Diabetic women who consider becoming pregnant should be first evaluated by a gynecologist and nephrologist and receive specialized advice. Given the complexity of care in affected women, a multidisciplinary approach is needed to achieve the best pregnancy outcome.
Diabetes, Acute renal failure, Pregnancy, Termination of pregnancy.
27
33
http://jcbr.goums.ac.ir/browse.php?a_code=A-10-157-4&slc_lang=fa&sid=1
Behjat
Khorsandi
10031947532846002762
0000000192739141
No
Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Mahsa
Khoshnam Rad
10031947532846002763
10031947532846002763
No
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Maryam
Moradi
10031947532846002764
10031947532846002764
No
Counseling Center for Midwifery and Reproductive Health, Golestan University of Medical Sciences, Gorgan, Iran
Fatemeh
Mohammadnejad
10031947532846002765
10031947532846002765
Yes
Golestan University of Medical Sciences, Gorgan, Iran