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“In summary, the
literature suggests that mild to moderate ketosis is a normal consequence of labour
although the association between high ketonuria and the progress of labour is
inconclusive. There is also no evidence to inform the debate about the beneficial or
detrimental effect of ketone bodies to the mother or fetus. It appears that ketosis only
becomes a problem when it exceeds, what is assumed to be, normal levels. Normal
ketone levels tend to be exceeded when labour becomes prolonged. There is no
conclusive evidence demonstrating that prolonged labour causes an over-production of
ketone bodies or an over-production of ketone bodies causes prolonged labour.” This is part of chapter 3 of
a textbook whose name I couldn’t find in the reference on google.
However, it was just one of many to debate the normality or not of keytonuria. Most
come down on the side of “ Keytonuria does not translate to serum ketones
without the presence of other symptoms. And Keytonuria does not necessarily
mean keytoacidosis”. |
