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Safe delivery of two parturient women in severe metabolic acidosis
  1. Ina Ismiarti Shariffuddin1,
  2. Vineya Rai1,
  3. Y K Chan1,
  4. Rajesh Kumar Muniandy2
  1. 1Department of Anaesthesiology, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia
  2. 2Medical Based Department, Universiti Malaysia Sabah, KotaKinabalu, Sabah, Malaysia
  1. Correspondence to Dr Rajesh Kumar Muniandy, rajeshkumar.ums{at}


Care of an acutely ill parturient is particularly difficult when we have to balance the needs of both mother and the fetus to survive. The literature suggests there should be emphasis on stabilising the mother's condition. In dealing with metabolic acidosis, however, we believe delivering the baby early might not only relieve the threat of the acidosis on the mother, it may be the only way to deliver a live baby. We report two parturient women with severe metabolic acidosis which was considerably reduced very soon after the delivery and how our timely delivery resulted in the birth of two neurologically intact babies.

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