DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20182912

Diabetic ketoacidosis in pregnancy

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

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.


Keywords


Diabetic ketoacidosis, Pregnancy, Type 1 diabetes

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References


Sibai B, Viteri O. Diabetic ketoacidosis in pregnancy. Obstet Gynecol. 2014;123(1):167-78.

Veciana M. Diabetes ketoacidosis in pregnancy. Sem Perinatol. 2013;37:267-73.

American College of Obstetricians and Gynecologists. ACOG practice bulletin No. 60: Pregestational diabetes. Obstet Gynecol. 2005;105: 675-85.

Hawthorne G. Maternal complications in diabetic pregnancy. Best Pract Research Clinic Obstet Gynaecol. 2011;25:77-90.

Carroll M, Yeomans E. Diabetic ketoacidosis in pregnancy. Crit Care Med. 2005;33:347-53.

Pinto M, Villena J. Diabetic ketoacidosis during gestational diabetes. A case report. Diabetes Res Clin Pract. 2011;93:92-4.

Kamalakannan D, Baskar V, Barton D, Abdu T. Diabetic ketoacidosis in pregnancy. Postgrad Med J. 2003;79:454-7.

Schneider M, Umpierrez G, Ramsey R, Mabie W, Bennett K. Pregnancy complicated by diabetic ketoacidosis: maternal and fetal outcomes. Diabetes Care. 2003;26:958-9.

Parker J, Conway D. Diabetic ketoacidosis in pregnancy. Obstet Gynecol Clin N Am. 2007;34:533-43.

Stenerson M, Collura C, Rose C, Lteif A, Carey W. Bilateral Basal Ganglia Infarctions in a Neonate Born During Maternal Diabetic Ketoacidosis. Pediatrics. 2011;128:707-10.

Chico M, Levine S, Lewis D. Normoglycemic diabetic ketoacidosis in pregnancy. J Perinatol. 2008;28:310-2.