Lactation ketoacidosis: an easily missed diagnosis

Intern Med J. 2019 Feb;49(2):256-259. doi: 10.1111/imj.14207.

Abstract

Ketoacidosis is uncommon in non-diabetic women, but occurs in the postpartum period as a rare complication of continuing to breastfeed during periods of acute illness. We report a case of a lactating woman who presented with severe symptomatic ketoacidosis in the early postpartum period. We also review the pathophysiology and management of lactation ketoacidosis.

Keywords: ketoacidosis; ketosis; lactation; postpartum; starvation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Bicarbonates / administration & dosage
  • Diarrhea / physiopathology*
  • Female
  • Glucose / administration & dosage
  • Humans
  • Ketosis / diagnosis*
  • Ketosis / etiology
  • Ketosis / therapy*
  • Lactation*

Substances

  • Bicarbonates
  • Glucose