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Case Studies | Obstetrics and Gynecology | India | Volume 13 Issue 1, January 2024

Management and Challenges of Diabetic Ketoacidosis in Pregnancy: A Multidisciplinary Approach

Dr. Varsha C. V. | Dr. Joylene Diana D Almeida

Abstract: This article examines the management and challenges associated with diabetic ketoacidosis (DKA) during pregnancy, a serious complication of diabetes that poses risks to both the mother and fetus. DKA in pregnancy is characterized by uncontrolled hyperglycaemia, metabolic acidosis, and ketosis, and can be triggered by factors such as non-compliance with treatment, infections, and excessive vomiting. The article presents case studies highlighting different clinical scenarios, diagnostic criteria, and treatment strategies. Improved antenatal care and screening have led to a decline in DKA incidence, but it remains a significant concern due to its rapid onset and potential delays in diagnosis. The article emphasizes the importance of a multidisciplinary approach involving obstetricians, endocrinologists, and other specialists in managing DKA during pregnancy. Early recognition, aggressive management, and addressing underlying factors are crucial for improving maternal and fetal outcomes.

Keywords: Diabetic ketoacidosis, pregnancy, management, multidisciplinary approach, hyperglycaemia

Edition: Volume 13 Issue 1, January 2024,

Pages: 1482 - 1485