title: Safe delivery of two parturient women in severe metabolic acidosis.
abstract: 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.
authors.affiliation: Department of Anaesthesiology, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
authors.forename: Ina Ismiarti
authors.initials: II
authors.lastname: Shariffuddin
authors.affiliation: Department of Anaesthesiology, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
authors.forename: Vineya
authors.initials: V
authors.lastname: Rai
authors.affiliation: Department of Anaesthesiology, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
authors.forename: Y K
authors.initials: YK
authors.lastname: Chan
authors.affiliation: Medical Based Department, Universiti Malaysia Sabah, KotaKinabalu, Sabah, Malaysia.
authors.forename: Rajesh Kumar
authors.initials: RK
authors.lastname: Muniandy
mesh_terms: D000138:Acidosis / Q000209:etiology / Q000628:therapy; D000328:Adult; D002585:Cesarean Section; D041881:Cholecystitis, Acute / Q000209:etiology; D002769:Cholelithiasis / Q000150:complications; D016883:Diabetic Ketoacidosis / Q000628:therapy*; D005260:Female; D006801:Humans; D010195:Pancreatitis / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D012720:Severity of Illness Index