Intrapartum Management of Diabetes and Diabetic Ketoacidosis in Pregnancy.

The goal of intrapartum management of diabetes is to keep maternal blood glucose within a certain range in order to reduce the risk of maternal complications as well as decrease the risk of neonatal hypoglycemia. Several protocols are available for intrapartum management and focus on using insulin drips and glucose-containing fluids to keep maternal blood glucose within a certain range. Similarly, there are many protocols for treating diabetic ketoacidosis, all of which address volume depletion, acidosis, and electrolyte imbalances with isotonic intravenous fluids, insulin, electrolyte replacement, and treatment of the underlying cause of ketosis.