Safe delivery of two parturient women in severe metabolic acidosis

Ina Ismiarti Shariffuddin and Vineya Rai and Y K Chan and Rajesh Kumar Muniandy (2014) Safe delivery of two parturient women in severe metabolic acidosis. BMJ Case Reports. ISSN 1757790X


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Care of an acutely ill parturient is particularly difficult when we have to balance the needs of both mother and the fetus to survive. The literature suggests there should be emphasis on stabilising the mother's condition. In dealing with metabolic acidosis, however, we believe delivering the baby early might not only relieve the threat of the acidosis on the mother, it may be the only way to deliver a live baby. We report two parturient women with severe metabolic acidosis which was considerably reduced very soon after the delivery and how our timely delivery resulted in the birth of two neurologically intact babies.

Item Type: Article
Keyword: amylase, bicarbonate, glucose, hemoglobin, insulin, ketone, acute pancreatitis, amylase blood level, cesarean section, cholecystitis, cholelithiasis, dehydration, diabetic ketoacidosis, dietary intake, disease duration, disease severity, dyspnea, epigastric pain, glucose blood level, metabolic acidosis, non insulin dependent diabetes mellitus, polydipsia, polyuria, priority journal, respiratory failure , vomiting
Subjects: Q Science > QH Natural history > QH301-705.5 Biology (General)
Date Deposited: 09 Jul 2014 09:25
Last Modified: 11 Oct 2017 16:00

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