Diabetes Ketoacidosis in Pregnancy: A Retrospective Study from the Teaching Hospital of Pikine

Introduction: Diabetic ketoacidosis (DKA) in pregnancy is rare but associated with maternal and foetal morbidity mortality. The objectives of this study were to evaluate the epidemiological, diagnostic, prognostic characteristics DKA pregnant women Dakar hospitals predictive factors its occurrence. Methods: This retrospective was conducted from January 2013 2021 Internal Medicine/ Endocrinology-Diabetology-Nutrition Gynaecology-Obstetrics departments National University Hospital Centre Pikine, Senegal. Medical files all hospitalised for during period collected. Results: A total 10 patients included study. Average age 30.9 years. Two unplanned pregnancies had pre-gestational diabetes mellitus (pre-GDM) did not have regular diabetic follow-up. Among 8 GDM, risk GDM found 7 women, three a history GDM. Blood glucose levels >1.02 >11 g/L these two groups, respectively. None been systematically screened between 24 28 gestational weeks. Signs ketosis present: 6 Kussmaul dyspnea one patient Glasgow Coma Score 10/15. precipitating factor infection patients. pre-eclampsia. evolution favourable For outcomes: 4 cases intrauterine death recorded, 2 carried their term, woman gives birth prematurely 3 lost Conclusion: health increases lack screening follow-up specialised environment, planning obstetrical prognosis poor patients, high rate utero.