I think that there is no doubt about the fact that extra fluids reduces ketonuria, the debate is : Is ketonuria harmful or beneficial or just neutral?  It may be that what is pathological in illness may be a product of normal metabolism in labour.  From what I have read, Ketoacidosis is the harmful state, not ketonuria and ketonuria is not necessarily a symptom of ketoacisosis.  More confused?  MM

 

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