This document discusses the clinical management of acute renal failure in obstetric patients. It notes that oliguria is common during pregnancy and postpartum and can be caused by issues like preeclampsia. Conservative management is emphasized, including careful fluid management, monitoring of electrolytes and urine output. Diuretics may help management but are not proven to impact outcomes. Dialysis is indicated for issues like fluid overload, severe hyperkalemia or acidosis, or refractory uremic symptoms. Patients not responding to initial measures or with severe preeclampsia may require specialist care and invasive monitoring.