gestational diabetes have to be delivered

[cookingabun]

at 38 weeks currently at 37+1.I have had a previous CS so can,t be induced what other options do i have apart from another CS seeing my consultant tomorrow.Thank any advice or experiences appreciated.

Why do you have to deliver at 38 weeks? How well managed is the diabetes?

Diabetes is very well managed at the moment on metformin and my readings are never higher than about 6.5.Really not sure why they are so adamant about delivery at 38wks they only mentioned about it last time i went 2wks ago and i didn,t really ask the questions i wanted to was hoping some one could tell if they went past 38wks and if it is possible really do not want CS .

cooking, yes I went past 38 weeks (delivered spontaneously at 38+4 following a sweep). I had to argue for it though.

My experience, and lots of other lovely people going through the same thing, is on this thread here. Do pop over and introduce yourself if you haven't already.

You need to be informed of the risks of going past 38 weeks but, in my opinion at least, you then need to assess exactly how likely each of those risks are in your own particular case. Good luck

cooking just to say I went to 39+4 and delivered spontaneously, albeit I did stall and need further assistance from there.

I had GD symptoms and results from 28 wks - but nobody SAW it until 2 days prior to my labour. My sugars were out of control and I had Ketones in my wee.

I guess I am just waffling - but I guess what I am saying is that I went into spontaneous labour fine by myself with no ill effects to the baby.

More to the point I hope you can make an informed decision, and wish you the very best

I have type 1 diabetes. The reason they don't like you to go further than 38w with Type 1, 2 or GD is because the blood flow through the placenta can deteriorate and the placenta can mature faster which poses a risk to baby. That said, not all hospitals force you to deliver at 38w. I would ask about options and try any of the old wives tales you know which might bring on labour.

Diabetes can make the baby grow faster too, which means that at 38w a VB is more likely. By closer to term, the baby could be larger and could mean a CS is more likely. Are you measuring large at the moment? I did, but had my little preemie at 34w due to pre-e so the VB was not problematic.

If you can't be induced then a c-section is really your only option at 38 weeks. I think the thing to question is why YOU need to deliver at 38 weeks. The stats show what happens to 100 women not what will happen to you and your baby - it's all about establishing your attitude to the relevant risks. There is no such thing as a risk free option - and the doctors know that. A c-section at 38 weeks has risk attached as well - just like any birth. You need to get them to break down the risk and refer it to you - have you any factors which may reduce or increase risks? Then you need to ask what the alternatives are and what happens if you do nothing. Nobody can force you to deliver at 38 weeks and they can't deliver the baby without you there [grinj] so take your time and talk everything through.

I have type one diabetes, very well controlled throughout pregnancy, induced at 36+1 and had an 8lb baby (waters broken, hormone drip, failed ventouse then forceps very rushed 6 hour labour was not fun scan the day before estimated weight at 7lb so don't rely on these). Guess I am saying that baby can be a lot bigger even if the diabetes is well controlled. It is in the nice guidelines that all women with diabetes should be offered induction but they can't make you, as long as you are full aware of all the pros and cons I think it is completely up to you, sorry gone a bit off topic...?!

I was diagnosed with GD at 36 weeks, I went to 40+15 days but did agree to daily monitoring for the final few days. My baby (she is just coming up for eight weeks now) had no sugar issues after birth, was not fat, did not get stuck and my placenta was very healthy - the consultant joked I could have gone another month! If you do not feel ready for induction and have no concerns over your health or the health of your child, delay induction, it's your choice - not compulsory. Please follow the link Crapweasel posted, you will find it very helpful indeed.

I hate how the risks of going full term with GD (I hate the word overdue) are banged on about by the NHS. If you read the research the NICE guidelines are based on you can see that there is an association between GD and intervention at birth, but not that one causes the other.

Thanks for your replies will definitely have a look at that thread crapweasel.Booked in for Cesarean section on wednesday next week.So will be trying to budge the baby along before then but not looking good as the baby is not in the pelvis and my cervix is not favorable.A little sad as i am really scared about the CS.but know its for the best as blood sugars have been a little out of control last few days.