[Cesarean section in a patient with severe diabetic ketoacidosis associated with intracranial hemorrhage of the fetus].

A patient at 33 weeks of pregnancy with diabetic ketoacidosis was transferred to our hospital. Despite intensive medical treatment, fetal state deteriorated and fetal distress was documented. A decision was made to deliver the fetus immediately. An asphyxial neonate was delivered by cesarean section under spinal anesthesia. The neonate was resuscitated in the operating room and intensively managed at the pediatric ward. CT scan revealed the multiple intracranial hemorrhage in the neonate on the fifth day of the birth. Stringent glucose control during pregnancy is crucial for the health of both the mother and fetus.