Does Gestational Diabetes Mean Big Baby

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Gestational Diabetes And Giving Birth

The latest guidance from NICE, published in 2015, has extended the time by which women with gestational diabetes should give birth to 40 weeks, 6 days – not much less than the general guidance for all pregnant women, which is 42 weeks. If you have not gone to birth at this point, induction of labour will be recommended. "When I was in the hospital, I felt I didn’t know what was going on. I would have liked more information about that part so I could have been better prepared." Gemma, mum of one The main reason for induction is to prevent stillbirth. For all women, the risk increases when their pregnancy goes past 42 weeks. However, one study has shown that women with gestational diabetes may be at risk earlier. So for this reason, the guidance in England and Wales states that if you have gestational diabetes, you should not go beyond 40 weeks, 6 days. An induction or caesarean may also be advised if your baby is very large (macrosomia) – as this may cause difficulties during the birth. On the other hand induction may also be recommended if the team detects poor growth in your baby. In Scotland, most women with diabetes in pregnancy are induced within 40 weeks. The guidance sa Continue reading >>

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Popular Questions

  1. Jemeraldx

    Okay so I'm 37 weeks pregnant today only known I have gd for the last 3. My sugar levels have been up & down & I've been told baby is on the large side, as well as all the complications that come with both of these. So I've looked everything up on the internet about gd, large babies complications etc & have now scared myself shitless. My biggest fear is 'shoulder dystocia' I saw it the other day on one born every minute, as well as on the internet. I had a scan to 'guess the size' which was about 8lb - seeing as scans are unreliable at guessing the size of babies in late term (another thankyou to the internet) It hasn't reasured me in the least. It doesn't help that I'm fed up with watching my diet & testing myself constantly, although what I hate the most is my diabetic nurse. I feel like I'm sat before a jury everytime I go, having to explain everything that I've eaten. The first time I saw her she made a comment about how (& I genuinely think it was intended as a joke - but when your hormonal & the size of a whale it doesn't help) I probably finish my kids meals off!. I'm not a dog (or a bottomless pit) I don't go around scoffing off everyones plates. They share my meal - not the other way around, yeah once or twice I might have pinched a chip of there plate while I was dishing it out (who hasn't)but afterwards it goes in the bin or the dogs bowl. The last time I went it was a different diabetic nurse & she flipped when I told her I had an hypo. I'll explain: I've been having these 'do's' has I'm now under strict orders to call them since I was in my teens. To start off I start feeling shaky, then I feel 'weak' & lethargic & can basically include the following: sweating,poor concentration, feeling 'emotional' like I want to cry my voice & lip tremble & I generally feel ill. I once had one @ work & they tested my blood. It was 3.8 I told my doctor & he said it was nothing to worry about. I knew I had gd before I was even tested because these 'do's' had been worse while I've been pregnant. I pointed out to the nurse that this was just something I refer to them as, but she kept going back to it & bringing it up & told me in no uncertain terms must I call it a 'hypo'. I also forgot to mention that when I get these mty body screams out for something sweety (usually milk & bisquits - I don't like them otherwise. I'm always asked so was it hard, have you had to give loads of things up' they probably don't mean it that way but it feelks like they're saying 'can't eat chocolate & chips now fatty!' lol, I think people have a stereotypical view of overweight people. Actually the diets not been that hard I just swapped my bread & cereals. They're are things I miss, but I love the foods I'm eating right now. - My apologies I didn't mean for this to be so long but I needed to get that out. So nurse aside I'm now crapping myself that something will happen to the baby because its so large & have already been looking on the internet for tips on getting things going (note: I definitely won't be trying casor oil). - Oh yeah also forgot to mention they want to start me on insulin! I can only just use the pen they gave me theres no way I'd be able to inject myself, this just adds to wanting to get her out faster & dbnurse not believing what I eat - I laways make a note when its high. Today all I had for dinner was a sandwhich & it was 6.9 & the other morning I had a bowl of porridge for breakfast & it was 7.9!

  2. Jemeraldx

    P.s as anyone else had a db nurse they actually liked?, my sister had 4 diabetic (well one was borderline) pregnancies & she said there was only 1 that was nice.

  3. Firawla

    Hi try not to worry too much, im sure the shoulder distocia is not that common and they will probably keep an eye on you during labour to make sure everything is okay, knowing that you have got gd.
    also sometimes their size estimates can be innacurate so you never know your dd may not be that big. i had diabetes with my last baby but he was only 6lb so not massive at all and delivery was all fine, they just worry cos in some cases the babies may become really big but doesnt mean it will apply to all!
    atleast you have not got too long left now and your diabetes developed quite late in the pregnancy.
    if you do have to have insulin i personally found the injections not as painful as the blood sugar finger prick thing! injections sounds worse but it doesnt actually feel as sharp as the other one, so wasnt as bad as expected. but hopefully it wont come to that.
    as for the nurses comments im sure they dont really mean it like that so i would try not to read too much into it, i think they just have advice about healthy eating etc that they have to give to everyone so they will say things like 'cut down on junk food' to everyone regardless if u actually do eat well already or not. its easy to take things too personal and feel upset at that stage of pregnancy though, i remember i started crying in the diabetic midwife office because i got really busy moving house and missed taking quite a few blood sugar so i thought they were gonna tell me off & that it was gonna be a major problem - felt like a right idiot about that
    anyway, good luck and i wouldnt google too much about the complications as you might just freak yourself out!

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