Asthma, diabetic ketoacidosis and fetal distress.
A known insulin-dependent diabetic parturient at 32 weeks' gestation was treated with oral steroids for presumed exacerbation of asthma. This resulted in maternal ketoacidosis and a non-reassuring fetal heart rate trace for which caesarean section was considered. Cessation of steroids and aggressive management of ketoacidosis resulted in improved maternal and fetal condition without the need for emergency caesarean section.
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK.
E
E
Richards
K
K
Barkshire
R
R
Russell