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Ketoacidosis in Diabetic Pregnancy
Author(s) -
Kilvert J.A.,
Nicholson H.O.,
Wright A.D.
Publication year - 1993
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.1993.tb00059.x
Subject(s) - medicine , diabetic ketoacidosis , pregnancy , abortion , ketoacidosis , obstetrics , incidence (geometry) , diabetes mellitus , fetus , fetal death , pediatrics , type 1 diabetes , endocrinology , genetics , physics , optics , biology
A study was carried out to determine the incidence of maternal ketoacidosis in 635 insulin‐treated diabetic pregnancies managed in a combined antenatal/diabetic clinic between 1971 and 1990. A total of 11 episodes occurred, representing 1.73% of diabetic pregnancies of which 9 were in the antenatal period. Overall fetal loss including spontaneous abortion was 22%, but there was only one fetal death in the seven episodes of ketoacidosis in the second and third trimesters. Ketoacidosis is an infrequent occurrence in diabetic pregnancy managed in a combined clinic and is not associated with a high fetal loss after the first trimester.