Fig. 3: Follow-up of PrAKI.

Suggested paradigm for the follow-up care of patients who experience pregnancy-associated acute kidney injury (PrAKI). The degree of nephrology-based follow-up increases with the number of comorbidities, the severity of acute kidney injury (AKI) and the severity of pregnancy complications and adverse pregnancy outcome (miscarriage, preterm birth, stillbirth and perinatal death). The timing and nature of follow-up are suggestions, as limited data are available to inform this process. The items in each bucket follow the ‘OR’ rule; therefore, each patient should follow the most severe bucket if they meet one criterion of that bucket. Follow-up should include assessment of kidney function, advocacy, medications, blood pressure, pregnancy planning and sick-day management (KAMPPS). KRT, kidney replacement therapy; SCr, serum creatinine.