Postpartum kidney crisis: hidden burden of postpartum acute kidney injury

Postpartum acute kidney injury (PPAKI) is a serious complication of pregnancy. This case series analyses seven patients aged 25-35 years, predominantly with hypertensive disorders such as preeclampsia, HELLP syndrome and eclampsia, with few complicated by sepsis and hemorrhagic shock. Dialysis was necessary in the majority of cases, with one mortality. The severity and multifactorial etiology of PPAKI are highlighted by diagnostic and treatment challenges. Results were greatly impacted by prompt intensive care unit treatment, renal support, and a multidisciplinary approach. In order to prevent irreversible renal damage, this series emphasizes the importance of early detection, aggressive management, and customized postpartum surveillance in high-risk obstetric populations.