Can pregnant women with ketone bodies of 40 keep children?

For pregnant women, they should go to the hospital regularly for corresponding prenatal check-ups under the guidance of a doctor. This can ensure the healthy development of the baby and can also promptly detect whether the baby has congenital malformations. Routine urine examination is also a very important prenatal examination item, but some pregnant women are found to have urine ketone bodies 4+. In this case, can they keep the child?

First of all, we need to distinguish the reasons for the four plus signs of urine ketone bodies. In clinical work, there are two most common reasons for the four plus signs of urine ketone bodies:

The first one is hyperemesis gravidarum, which means not being able to eat in the early stages of pregnancy. This will cause fat metabolism in the body. The more plus signs of urine ketone bodies, the product of fat metabolism, the worse the physical condition. In this case, intravenous therapy is needed to correct the body's condition. As long as the body's condition is really good and the urine ketone bodies gradually decrease, the fetus can be kept.

The second reason is gestational diabetes. If gestational diabetes occurs and blood sugar is not well controlled, urine ketone bodies will also be four plus signs. In this case, blood sugar should be controlled. As long as blood sugar is controlled, you can have the child.

What to do with gestational diabetes

1. Whether diabetic patients can become pregnant

(1) Diabetic patients should determine the severity of diabetes before pregnancy. It is very dangerous to both mother and child, so pregnancy is not recommended.

(2) Patients with mild organic lesions and good blood sugar control can become pregnant under active treatment and close monitoring.

(3) Starting before pregnancy, strictly control blood sugar levels with the assistance of an internist.

2. Treatment of pregnant women with abnormal glucose metabolism

(1) Satisfactory standard for blood sugar control during pregnancy: Pregnant women have no obvious hunger, and fasting blood sugar is controlled at 3.3-5.6mmol/L; 30 minutes before meal: 3.3-5.8mmo1/L; 2 hours after meal: 4.4-6.7mmol/L; at night: 4.4-6.7mmol/L.

(2)Dietary therapy Diet control is important.

(3) Drug treatment. Insulin is the main treatment for diabetes that cannot be controlled by dietary therapy.

(4) Treatment of diabetic ketoacidosis during pregnancy.

3. Maternal and child care during pregnancy

Check once a week until the 10th week of pregnancy. The second trimester of pregnancy should be checked every two weeks. Generally, the insulin requirement begins to increase at 20 weeks of pregnancy and needs to be adjusted in time. Renal function and glycosylated hemoglobin levels were measured monthly, and fundus examinations were performed. After 32 weeks of pregnancy, check-ups should be done weekly. Pay attention to blood pressure, edema, and urine protein. Pay attention to monitoring of fetal development, fetal maturity, fetal-placental function, etc., and hospitalize early if necessary.