Diabetic Ketoacidosis (DKA) in Pregnancy

Recognize it early, stabilize it fast, and lead your team through one of pregnancy's most time-critical metabolic emergencies.

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When DKA hides in plain sight

Easily missed. Fast-moving. High-stakes.

  • You're caring for a diabetic pregnant patient who feels unwell, but her glucose looks near-normal, so DKA isn't the first thing on your mind.
  • Symptoms escalate faster than you expected, and you're second-guessing how pregnancy changes the fluid, insulin, and electrolyte targets.
  • Your team rarely sees DKA in pregnancy, so the muscle memory to act decisively just isn't there.

You're not alone.

DKA in pregnancy is uncommon, atypical, and unforgiving. This course gives your interprofessional team a shared, evidence-based framework to recognize it early and manage it all the way through ICU-level care.

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What you'll walk away with:

A clear grasp of how pregnancy alters DKA physiology, presentation, and management

The ability to recognize the atypical, near-normal-glucose presentation before it escalates

A step-by-step approach to initial stabilization and fluid, insulin, and electrolyte management

Confidence carrying the patient through ICU-level care

Bedside tools you can keep on hand and reuse

Simulation-ready materials to practice the response as a team

The fastest way to prepare your team

Build recognition and response before it's an emergency

A standardized clinical pathway from early recognition to ICU-level care, enabling consistent, evidence-based management across the interprofessional care team.

Clinical clarity

Recognize the atypical, near-normal glucose presentation early.

Decisive management

Know the pregnancy-specific fluid, insulin, and electrolyte targets.

Stronger team response

Practice the response so your team moves as one.

Perfect for:

  • Labor & delivery, ED, and ICU nurses
  • OB/GYNs, MFMs, and OB hospitalists
  • Certified nurse-midwives and NPs
  • Critical care and anesthesia clinicians
  • OB/GYN residents and MFM fellows
  • Teams managing high-acuity OB patients
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What's included

Everything your team needs, in one course

3 hours of video instruction

Focused modules covering pathophysiology, early recognition, initial stabilization, and management of DKA in pregnancy.

3 downloadable clinical resources

A Management Algorithm, an Initial Stabilization Checklist, and an ICU Management Checklist your unit can keep at the bedside.

Simulation Toolkit

Everything needed to facilitate a DKA-in-pregnancy simulation, helping teams prepare for a rare but time-critical clinical event.

Inside the course

Inside the DKA in Pregnancy course

Focused modules take you from first suspicion to ICU-level care.

What You’ll Learn

Gain the knowledge, clinical framework, and practical tools to confidently recognize and manage diabetic ketoacidosis (DKA) in pregnancy from the first signs of illness through critical care management.

Understand Why DKA Is Different in Pregnancy

  • Pregnancy-specific metabolic changes that increase DKA risk
  • Why DKA may occur with only mildly elevated or normal glucose levels (euglycemic DKA)
  • Common causes and why the diagnosis is frequently delayed

Recognize DKA Early

  • Early warning signs and clinical presentation
  • Key laboratory findings and diagnostic criteria
  • Differentiating DKA from other causes of metabolic acidosis
  • When immediate escalation of care is needed

Master Initial Stabilization

  • Priorities during the first hour of management
  • Fluid resuscitation and electrolyte replacement
  • Insulin therapy

Manage the Critically Ill Patient

  • Ongoing ICU management and treatment goals
  • Preventing and recognizing complications
  • Maternal and fetal monitoring
  • Level of care and transfer considerations

Apply Evidence-Based Tools

  • Practical management algorithm
  • Initial stabilization and ICU management checklists
  • Resources designed to standardize care and reduce delays

Build Team Confidence Through Simulation

  • Practice an obstetric DKA simulation scenario
  • Strengthen interprofessional teamwork for this high-risk emergency

Complete the Course

  • Test your knowledge with a post-course assessment

 

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Built for real clinical use

More than a video course

Downloadable clinical tools

A Management Algorithm and two checklists, ready to keep at the bedside.

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Simulation Toolkit

Everything you need to run interprofessional drills on your obstetric units.

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3 credit hours

Accredited content to support your nursing license.

Choose Your Package

Full Bundle

$139

MOST COMPLETE

✓ Full video course

✓ All 3 downloadable resources

✓ Full simulation toolkit

✓ Everything, start to finish

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Bedside Resource Pack Only

$49

✓ 3 downloadable clinical resources 

✓ Management Algorithm

✓ Stabilization & ICU checklists

– No video course

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Simulation Toolkit + Bedside Resource Pack

$79

 ✓ Simulation toolkit

✓ All 3 downloadable resources

✓ Run a full team drill

– No video course

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Video Course + Bedside Resource Pack

$99

 ✓ Full video course

✓ All 3 downloadable resources

✓ CME credit hours

– No simulation toolkit

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Frequently asked questions

Is this accredited for continuing education credit?

The course offers 3 hours of nursing continuing education. 

 How long do I have access?

The course is self-paced. Stream any module anytime on any device, and revisit the downloadable resources whenever you need them for 1 year after purchase.

Do I need the simulation toolkit to complete the course?

No. The video course and downloadable resources stand on their own. The simulation toolkit is an optional add-on for teams who want to practice the scenario hands-on.

Can I purchase this for my whole unit or team?

Yes. Group pricing is available for units and larger teams. Visit our Group Pricing page or contact us for a team quote.

Can I purchase just the Management Algorithm and Checklists without the course?
 Yes. The downloadable resources can be purchased on their own.

Developed by the nationally recognized faculty of Clinical Concepts in Obstetrics

Leaders in simulation-based education and critical care obstetrics who specialize in preparing interprofessional  teams to manage the most complex maternal emergencies.

Stephanie Martin, DO, FACOG

Maternal-Fetal Medicine Specialist nationally recognized for her expertise in managing critically ill pregnant and postpartum patients.

Meet the Team

Suzanne McMurtry Baird, DNP, RN

Critical Care OB nurse and seasoned leader in maternal healthcare systems and high-risk obstetrics.

Meet the Team

Julie Arafeh, MSN, RN

An internationally recognized expert in obstetric emergency training with extensive experience in improving team performance and clinical readiness.

Meet the Team

Prepare your team before it's an emergency

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© 2026 Clinical Concepts in Obstetrics. Proactive, not reactive.