Resolution of severe fetal distress following treatment of maternal diabetic ketoacidosis. (9th March 2018)

• Record Type: Journal Article
• Authors: Ng, Yang Huang Grace; Ee, Tat Xin; Kanagalingam, Devendra; Tan, Hak Koon
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-03-09
• Subjects: obstetrics, gynaecology and fertility -- diabetes; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-221325
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Diabetic ketoacidosis (DKA) during pregnancy is a serious metabolic complication of diabetes with high mortality and morbidity if not detected and treated immediately. We report a case of a woman with type 1 diabetes mellitus who had poorly controlled diabetes in the first half of pregnancy and developed DKA at 29 weeks gestation. At presentation, she had a pathological fetal heart tracing but delivery was delayed for maternal stabilisation and reversal of acidosis. Once hyperglycaemia, acidosis and maternal stabilisation were achieved, fetal compromise resolved and delivery was no longer indicated. The patient was subsequently discharged home. She delivered vaginally a 2400 g baby at 34 weeks gestation after presenting with spontaneous rupture of membranes.