Endocrine Emergencies During Pregnancy: Diabetic Ketoacidosis and Thyroid Storm.
Obstet Gynecol Clin North Am
; 49(3): 473-489, 2022 Sep.
Article
in En
| MEDLINE
| ID: mdl-36122980
ABSTRACT
The physiologic changes and common signs and symptoms of pregnancy can make the early recognition of endocrine emergencies more challenging. Diabetic ketoacidosis (DKA) can occur at only modestly elevated glucose levels (euglycemic DKA), often accompanied by starvation ketosis due to substantial fetal-placental glucose demands and is associated with a high stillbirth rate. Thyroid storm is life threatening with a higher rate of heart failure and both require prompt and aggressive treatment to avoid maternal and fetal morbidity and mortality. Treatment of these disorders and the special considerations for recognition and management in the context of pregnancy are reviewed.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Thyroid Crisis
/
Diabetic Ketoacidosis
/
Diabetes Mellitus
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Obstet Gynecol Clin North Am
Journal subject:
GINECOLOGIA
/
OBSTETRICIA
Year:
2022
Type:
Article