Transplacental metabolic alkalosis.
We present a newborn with hypochloraemic metabolic alkalosis due to severe metabolic alkalosis of his mother. Hypoventilation as a leading symptom resolved quickly with treatment but may be life-threatening if not detected. In this case, the mother had a probable eating disorder. Little is known about transplacentally acquired electrolyte disorders in this setting. In the absence of symptoms, most of the cases might be undetected. The usual neonatal outcome of anorexia and/or bulimia nervosa in pregnancy is a lower birthweight and a lower risk for instrumental delivery.
Department of Neonatology and Intensive Care, University Children's Hospital, Zurich, Switzerland.
Patrik
P
Schimert
Vera
V
Bernet-Buettiker
Christoph
C
Rutishauser
Mohammed
M
Schams
Bernhard
B
Frey
D000471:Alkalosis / Q000175:diagnosis* / Q000209:etiology; D001784:Blood Gas Analysis; D004573:Electrolytes / Q000097:blood; D001068:Feeding and Eating Disorders / Q000150:complications; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases; D018445:Infectious Disease Transmission, Vertical; D008297:Male; D011247:Pregnancy; D013557:Switzerland
D004573:Electrolytes