Extreme Maternal Metabolic Acidosis Leading to Fetal Distress and Emergency Caesarean Section
| العنوان: | Extreme Maternal Metabolic Acidosis Leading to Fetal Distress and Emergency Caesarean Section |
|---|---|
| المؤلفون: | Anna Päivikki Onnela, Marie-Françoise Vincent, Nicolas Cecere, Corinne Hubinont, Philippe Hantson, Peter Van den Bergh, Arnauld Kabulu Kadingi |
| المصدر: | Case Reports in Obstetrics and Gynecology Case Reports in Obstetrics and Gynecology, Vol 2013 (2013) |
| بيانات النشر: | Hindawi Limited, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Pregnancy, Pediatrics, medicine.medical_specialty, Sodium bicarbonate, business.industry, Metabolic disorder, Obstetrics and Gynecology, Anion gap, Case Report, Metabolic acidosis, medicine.disease, lcsh:Gynecology and obstetrics, Tachypnea, chemistry.chemical_compound, chemistry, Anesthesia, medicine, Fetal distress, Ketonuria, medicine.symptom, business, lcsh:RG1-991 |
| الوصف: | A 31-year-old pregnant woman ( weeks) was admitted with extreme tachypnea. She had a previous history of congenital muscular dystrophy (Ullrich’s disease) and isolated glucosuria. The patient had reduced food intake during the last 24 hours prior to admission and vomited twice. Serum glucose level was normal (112 mg/dL), while urinalysis revealed glucosuria 4+ and ketonuria 4+. ABG revealed pH 7.06, PCO29 mm Hg, and bicarbonate 2 mmol/L. Anion gap was 28 mmol/L. Tachypnea was a compensatory mechanism for a severe nonlactic metabolic acidosis. The diagnosis of starvation ketoacidosis was established. The patient received supplemental dextrose 10% intravenously and sodium bicarbonate. As fetal heart monitoring was pathological, an emergency caesarean section was performed. Umbilical cord venous pH was 7.01, with PCO234 mm Hg and bicarbonate 8 mmol/L. Starvation ketoacidosis is a rare metabolic disorder that may occur mainly in the third trimester of pregnancy. Muscular dystrophy and renal glucosuria were precipitating factors. |
| تدمد: | 2090-6692 2090-6684 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e9e766316823505683e1a14cfbfb10e3Test https://doi.org/10.1155/2013/847942Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e9e766316823505683e1a14cfbfb10e3 |
| قاعدة البيانات: | OpenAIRE |
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