Treatment of fetal distress during diabetic keto-acidosis.
A case of diabetic acidosis during pregnancy is presented in which the fetal heart rate tracing demonstrated late decelerations. Sodium bicarbonate, intravenous fluids and insulin treatment resulted in correction of both the maternal acidosis and the abnormal fetal heart rate tracings. The rationale for bicarbonate therapy for treatment of the presumed fetal distress is discussed.
D000328:Adult; D001639:Bicarbonates / Q000627:therapeutic use; D016883:Diabetic Ketoacidosis / Q000150:complications* / Q000628:therapy; D005260:Female; D005316:Fetal Distress / Q000209:etiology / Q000628:therapy*; D005318:Fetal Heart; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000150:complications*; D014882:Water-Electrolyte Balance
D001639:Bicarbonates; D007328:Insulin