Diabetic ketoacidosis in pregnancy

Rosália S. Coutada; Soraia S. Cunha; Elisabete S. Gonçalves; Ana P. Gama; João P. Silva; Paula M. Pinheiro

doi:10.18203/2320-1770.ijrcog20182912

Authors

Rosália S. Coutada Department of Obstetrics and Gynecology, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal
Soraia S. Cunha Department of Obstetrics and Gynecology, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal
Elisabete S. Gonçalves Department of Obstetrics and Gynecology, Centro Hospitalar Universitário do Algarve, Faro, Portugal
Ana P. Gama Department of Obstetrics and Gynecology, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal
João P. Silva Department of Obstetrics and Gynecology, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal
Paula M. Pinheiro Department of Obstetrics and Gynecology, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182912

Keywords:

Diabetic ketoacidosis, Pregnancy, Type 1 diabetes

Abstract

Diabetic ketoacidosis in pregnancy is a rare but potential life-threatening condition for the mother and the fetus. It tends to occur latter in pregnancy and is more common in patients with pregestational diabetes. Obstetricians should be aware of the events that can trigger diabetic ketoacidosis in pregnancy. Prompt recognition and aggressive treatment of this condition are essential in order to reduce perinatal mortality and morbidity. The authors present a case of a pregnant woman with type 1 diabetes with a poor surveillance of pregnancy and noncompliance to treatment that develops severe diabetic ketoacidosis at 34 weeks of gestation.

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