Severe metabolic acidosis and respiratory distress due to acute starvation in pregnancy: a case report K de Jonga, CJC Stewartb, GCR van Hoeckea, HH Ponssenb.a Department of Obstetrics and Gynaecology, Albert Schweitzer Hospital, Dordrecht, the Netherlandsb Department of Intensive Care, Albert Schweitzer Hospital, Dordrecht, the Netherlands.Correspondence : drs K de Jong, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, 3318 AT Dordrecht, The Netherlands, 0031-7865-51948. Email k.dejong2@asz.nl.