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Old Jun 11th, 2011, 11:16 AM   1
weebun
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Anyone had vaginal delivery, having had Gestational Diabetes?


I was diagnosed with GD this last week. Baby is measuring fine for weeks and so am I and I am not carrying any excess fluid. Just my GTT came back with a fasting of 4.1 then 2 hours after the drink it showed as 8.3.

I have been testing sugars since then and will be over weekend till I go again on Monday, They are really good and haven't had a high one yet. so I am confused.

They have talked about induction at 38 weeks. Which is what I am miffed about really.

I had an emergency c-section with my son 8 years ago, and I was all set for VBAC, agreeing to either I go into labour myself, or after a week to 2 weeks late then I would be induced, either way as long as labour progresses well and labour does not go on too long or baby gets distressed then I would hopefully avoid another c-section but was quite happy to have a c-section under their advice if things weren't going as they hoped. I was happy with the plan and so was the consultant.

NOW!!!! with all this talk of being induced and having GD I have no idea what is going to happen, I was told if at 38 weeks I was not ready to be induced, i guess viable and ripe would be the best words to use LOL x then I would just automatically be booked in for C-section ....... I feel like I have not been given any choice. What if my sugars and everything stays well and my pregnancy carries on going as well as it is.... surely they would leave me be??

anyone with any advice or experience ???? or words of wisdom ???? would be very much appreciated xx

Kerry x



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Old Jun 11th, 2011, 11:18 AM   2
weebun
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P.S


meant to add, I haven't had to tweak my diet to much either, it was already a pretty good one... even dietician said so.



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Old Jun 11th, 2011, 11:22 AM   3
expecting76
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how many weeks are you? i was diagnosed with gd around 29/28 weeks i think and the doctor started talking right away about possible induction and other measures. now i monitor sugars every day, walk and follow a pretty strict diet. it's worked, too. i'm coming up on my due date and nobody is talking about that stuff anymore, the doctor says everything looks fine and we're planning for natural birth. so my experience is that if you can keep the gd under control it may not affect your delivery as much as you're fearing now. and, you get extra ultrasounds!



 
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Old Jun 11th, 2011, 13:09 PM   4
Emmea12uk
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If you stay diet controlled and your growth scans are good then fight for what you like. I had a vaginal delivery at term with ds with gd and this time I am having a home birth with gd. My gd 2 hr was also 8.3 but it takes a lot to send my sugars high.

There is no reason for you to be Induced whatsoever if your sugars stay good. Absolutely no reason for a section. The docs go completely overboard when it comes to diet controlled gd and it is all bad for both you and baby.

If you need any moral support I am happy to help



 
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Old Jun 11th, 2011, 14:29 PM   5
staceyp
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i have just found out i have gd and im 34+5 week spregnant,,, for me its mainly the excercise and if i eat smething really bad for me my sugars will go skyhigh (which makes sense lol) if i eat normally and excercise theys stay perfect.
unfortunatly baby is measuring 4 week sbigger :/ so fingers crossed she comes as early as DS1 came because there is no way im lasting till 40 weeks for a 10 pound baby (which is what theyve predicted for me lol) sometimes they can be off but it was enough to make me eat perfectly as i said though.. baby is huge so youre one up on me.. youfight for what you feel comfortable with, its your baby. funnily enough they havent even spoken to me about induction or anything the only reason i know is cos my dc mentioned it briefly in the chekup before i had to change hospitals...

best of luck and dont stress x x



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Old Jun 11th, 2011, 16:32 PM   6
Bournefree
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No reason you can't have a normal vaginal delivery with GD - not even an induction or any augmentation fo your labour.

There are 2 concerns with babies to GDM mums:
1 - is if babies tummy, as they can get chubby on your excess sugars, is off the scale. It is very unlikely that babies go so chubby that they are unable to decend through the pelivis, tummies are rather squishy. but it can happen and that is the concern.
2 - post birth, if you have high circulating sugars in your blood at the pont of birth (also very very unlikey, as you are unlikely to be eating your way through lots of carbs and sugars in labour, and your muscles will be working hard), that baby once not receiving nutrients from you, could go hypo (low blood sugar). but even then, this is no reason for medical intervention at birth, and post birth if baby does have this problem, then you feed them, and feeding them can be from a little lid with some of your colostrum (they have a lapping instict) or from the breast.

It really isn't a problem and if you ask your consultant, they will admit it is down to policy they want you in, and not clinical evidence, if your scans are fine. It is NO reason for an induction or elective c-section... which is an extreme measure and only to be used when there is Abdominal/pelvic disproportion.

I had a home birth with my first with a GDM postive diagnosis - and what I have learnt is take it on evidence on how you are presenting, and not policy.
XxX



 
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Old Jun 11th, 2011, 17:40 PM   7
torch2010
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I have GD, was diagnosed at 17 weeks. 28 weeks now and baby measures 2 weeks ahead. I too will be induced at 38 weeks. I begged them to let me go to term, I have had 2 inductions and wanted to avoid it this time. Once they told me the risk of stillbirth (my son was stillborn last year) I have opted to have the induction. I was offered a c-sec but turned it down and will be delivering naturally xx



 
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Old Jun 12th, 2011, 03:05 AM   8
weebun
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AWWW thank you so much ladies, everything each of you has said has given me much food for thought, all makes sense, forgot to say, I am 30+ weeks, and same here, it really does take a lot to send my sugars sky high too, I go for regular walks, and my job I am on my feet pretty much all day on and off.

I think I will go on the advice, take it as evidence rather than policy.

I know the odds are already pointing at c-section due to past emergency one, which I am fine with, but that is why I want to do things my way. If I remain well with the GD.

will let you know how I get on tomorrow x and thank you all again x



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Old Jun 12th, 2011, 10:51 AM   9
sw121
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I have GD and they explained that for diet controlled they induce at 38-39 weeks and for insulin dependent they induce at 36-37 weeks. They said this is because the placenta can start to deteriorate quite quickly after these stages and they feel it's too much of a risk to the baby - apparently baby can get into problems very suddenly, even when you're in labour.

You can have vaginal delivery with GD though - I was going to, but baby is breech so I need a CS instead. What I've also read however is that once you've had one CS, if you then need to be induced for subsequent pregnancies you have to have another CS - I believe all the artifical hormones they pump into you to induce vaginal delivery can place too much strain on a uterus that has gone through CS previously. As such, you may only be able to have vaginal delivery if you naturally go into labour.



 
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Old Jun 12th, 2011, 12:31 PM   10
Emmea12uk
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There is no evidence to say the placenta breaks down at term with gd whatsoever. In fact it only happens to diabetics who are pregnant. You know whether you had diabetes earlier by your bloodtests. Ask your ob whether they think this is just gd and likely to go away after birth. If they say it is then there is no higher risk of still birth than any other non gd birth.



 
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