Diabetic ketoacidosis in pregnancy
A case report
Keywords:
Diabetes Mellitus, Ketoacidosis, Pregnancy, Respiratory Distress, Intrauterine Fetal DeathAbstract
Pregnancy with diabetic ketoacidosis (DKA) increases maternal and perinatal morbidity and mortality. DKA is a rare complication of pregestational diabetes mellitus (DM) or gestational diabetes mellitus (GDM) during pregnancy. However, it could be life-threatening for the mother and fetus without correct diagnosis and treatment. This paper reports a case of DKA in 25 years old Female with 26/27 weeks gestational ages. This was the second pregnancy with bad obstetric history. The patient has a history of DM from a previous pregnancy. The diagnosis of DKA is based on the presence of hyperglycemia, ketone in urine, and metabolic acidosis. After aggressive fluid replacement, intravenous insulin therapy, correction of acidosis and electrolyte imbalance, the patient showed significant improvement. The baby was born spontaneously induced by oxytocin drip, with a birth weight of 900g, APGAR scores 0, and maceration grade 2. After being treated for six days in the intensive care unit and observed for three days in the ward, the patient was allowed to be outpatient in good condition. Rapid restoration of glycemic control is essential to prevent death in pregnant women with diabetes mellitus diabetic ketoacidosis.
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