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The 4-vessel Sampling Approach to Integrative Studies of Human Placental Physiology In Vivo
Published on: August 2, 2017
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Metabolic emergencies in pregnancy
1St Thomas' Hospital, London, UK naina.mohan@gstt.nhs.uk.
Clinical Medicine (London, England)
|September 11, 2021
Summary
Pregnancy causes metabolic changes, increasing risks of diabetic ketoacidosis, hypoglycemia, and hyponatremia. This review details these conditions, their treatments, and impacts on mothers and newborns.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Endocrinology
Background:
- Physiological changes during pregnancy alter maternal metabolism.
- Increased frequency of diabetic ketoacidosis and hypoglycemia in pre-existing and gestational diabetes.
- Starvation ketoacidosis and peripartum hyponatremia are significant concerns.
Purpose of the Study:
- To review metabolic disturbances in pregnancy.
- To detail diabetic ketoacidosis, hypoglycemia, and hyponatremia.
- To discuss treatment priorities and maternal-neonatal impact.
Main Methods:
- Literature review of metabolic disturbances in pregnancy.
- Synthesis of current knowledge on ketoacidosis and hyponatremia.
- Focus on clinical presentation, management, and outcomes.
Main Results:
- Pregnancy predisposes women to metabolic disturbances like ketoacidosis and hypoglycemia.
- Peripartum hyponatremia is a recognized condition with potential morbidity.
- These conditions require specific management strategies.
Conclusions:
- Understanding and managing these metabolic issues is crucial for maternal and neonatal well-being.
- Prompt diagnosis and treatment are essential to mitigate risks.
- This review provides a comprehensive overview for clinicians.
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