Diabetic ketoacidosis complicating pregnancy.
Publication/Presentation Date
1-1-1996
Abstract
OBJECTIVE: This report describes the physiologic alterations that predispose pregnant women to diabetic ketoacidosis and the experience in a tertiary center after adoption of aggressive management of diabetics.
STUDY DESIGN: In 1982 a protocol for strict surveillance of glucose homeostasis for pregnant diabetic patients and the early recognition and aggressive treatment of patients who do have diabetic ketoacidosis was initiated and has resulted in improved maternal and neonatal outcomes.
RESULTS: From 1986 through 1991 the incidence of diabetic ketoacidosis was 3% compared with an incidence of 22% from 1976 to 1981. During this same time the incidence of fetal death associated with diabetic ketoacidosis decreased from 35% to 10%.
CONCLUSION: Diabetic ketoacidosis and fetal morbidity/mortality can be reduced by aggressive management during pregnancy.
Volume
16
Issue
3 Pt 1
First Page
173
Last Page
175
ISSN
0743-8346
Published In/Presented At
Chauhan, S. P., Perry, K. G., Jr, McLaughlin, B. N., Roberts, W. E., Sullivan, C. A., & Morrison, J. C. (1996). Diabetic ketoacidosis complicating pregnancy. Journal of perinatology : official journal of the California Perinatal Association, 16(3 Pt 1), 173–175.
Disciplines
Medicine and Health Sciences
PubMedID
8817424
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article