DOI: https://doi.org/10.36347/sasjm.2026.v12i06.010

Pages: 633-636

Acute kidney injury (AKI) during pregnancy and the postpartum period remains a critical emergency in developing nations. This retrospective study (2021–2023) at the Mohammed VI University Hospital of Marrakech analyzed 52 patients meeting the 2012 KDIGO criteria. The cohort exhibited a mean age of 29.52 years, and 42.4% lacked adequate prenatal care. Preeclampsia was the primary etiology (n = 26; 20 with oligo-anuria), followed by postpartum hemorrhage (26.9%) and systemic shock (23.07%). Clinical severity was high, with 40.3% of patients requiring hemodialysis. Renal biopsy (9.6%) revealed severe lesions, including partial cortical necrosis, malignant nephroangiosclerosis, and Class IV lupus nephritis. Complete renal recovery was achieved in only 38.4% of cases, while 34.6% had partial recovery and 26.9% experienced unfavorable outcomes. Driven mainly by hypertensive disorders and severe hemorrhage, obstetric AKI carries a high risk of chronic renal sequelae, necessitating early multidisciplinary management and long-term nephrological follow-up.