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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

gestational diabetes at 39wks, what are risks to baby?

21 replies

bunny3 · 09/02/2007 14:29

I am 39.4 wks pregnant and have just got results back which confirm I have GD. Midwife doesnt think I need worry and can go to term, dh wants me to be induced NOW. Are there risks to baby if I am not induced???

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PrettyCandles · 09/02/2007 14:35

Ig the GD is of such a degree that you can keep it under control with your diet, then I would be strongly inclined to allow your baby to come when it's ready. It's only 10 days or so before you'll be talking about induction in any case. Unless it's runaway GD, uncontrolled through diet, then the baby isn't going to grow all that much larger over the next few days.

Heavenis · 09/02/2007 14:36

Have you been referred to a consultant.
Some people can control it with diet alone.
I had to have insulin injections,but mine was detected alot earlier and I was delivered at 38 wks.
The baby can be large but it's not a healthy large if you see what I mean.
When the baby is born they can have trouble with blood sugar levels. They are usually monitored in special care for a while to see if baby can regulate their sugar levels.

bunny3 · 09/02/2007 14:38

thanks for rapid replies

My concerns are that the baby will be at risk of still birth (I am sure I read this somewhere). As it is a friday afternoon I cant get any appointments to be seen until next week and I dont want to fret over the weekend.

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PrettyCandles · 09/02/2007 14:40

Sorry, trying t o post with wriggly baby here!

Risks to baby with uncontrolled GD are very large stocky baby could be difficult to deliver (so more likely to have instrumental or CS) and baby getting a danegerous drop in blood sugar when cord is cut so needing SCBU.

Induction aldo, I believe, leads to greater risk of instrumentsal delivery and CS, plus a nore unplreasant labiour for you.

I may well have had GD in last pg, but refused to be tested as I saw no point in being labelled, plus it ws perfectly controlled by diet. Ds2 born at 40+6, large but perfectly healthy. Has the mw given you diet advice?

PrettyCandles · 09/02/2007 14:43

Men see solutions to problems, women see ways of living with issues. Your dh probably sees induction as the solution to the problem of GD, without seeing that it may not be a problemt hat needs solving, but a situation that can be lived with.

bunny3 · 09/02/2007 14:44

no, I've had no advice! Should I cut out cakes and chocolate?? I have been over-indulging a little. My main concern is for the babys welfare which is why I would prefer to be induced. I was induced with ds and it was not nice but I know if I stay pregnant, I'll be worrying all the time.

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bunny3 · 09/02/2007 14:45

posts corssed!

yes dh wants a solution and is ringing private hospitals now to see if they can take me in right away!

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hoxtonchick · 09/02/2007 14:48

is this your first baby? if not, and you had reasonably normal deliveries previously i'd be inclined to go for an induction. it would probably all be over very quickly.

i have pre-existing diabetes & was induced with both my children (ds at 39 weeks, dd at 38). 2nd induction was much much faster as my body knew what it was doing.

uncontrolled diabetes can lead to big babies. and they will need to monitor blood sugar after the baby's born. if you want to breastfeed you need to stick to your guns as they might try & insist on formula. both of mine had formula top ups on their first day, but i made sure i put them to the breast first every time & they had formula from a cup not a bottle. i went on to breastfeed both of them succesfully.

hth, do ask if you have any more questions.

Heavenis · 09/02/2007 14:50

You need to control your carbohydrate intake and the amount which is sugars.
You should eat regular meals and make sure you have supper.
I think that a GI diet is the best kind to follow.
Eating foods like porridge is a slow releasing food.

PrettyCandles · 09/02/2007 14:55

Do you know about Glycaemic Index? The key is to eat low GI foods and lots of small meals instead of 3 x day - you'll be amazed at how much better you'll feel within a day or two.

Here's a list. Nit all foods are included, but it gives you an idea. You probably ought to do a bit of internet research on GI to find more guidelines. Most GI diets are about losing weight, which you don't want to do tright now, so ignore quantities.

The key is that most of your foods dhould be from trhe Low group, some from Medium, and avoid High as much as possible.

Low GI foods

Roasted and salted peanuts 14
Low-fat yoghurt with sweetener 14
Cherries 22
Grapefruit 25
Pearl barley 25
Red lentils 26
Whole milk 27
Dried apricots 31
Butter beans 31
Fettucine pasta 32
Skimmed milk 32
Low-fat fruit yoghurt 33
Wholemeal spaghetti 37
Apples 38
Pears 38
Tomato soup, canned 38
Apple juice, unsweetened 40
Noodles 40
White spaghetti 41
All Bran 42
Chick peas, canned 42
Peaches 42
Porridge made with water 42
Lentil soup 44
Oranges 44
Macaroni 45
Green grapes 46
Orange juice 46
Peas 48
Baked beans in tomato sauce 48
Carrots, boiled 49
Milk chocolate 49
Kiwi fruit 52
Stoneground wholemeal bread 53
Crisps 54
Special K 54
Banana 55
Raw oatbran 55
Sweetcorn 55

Medium GI foods

Muesli, non toasted 56
Boiled potatoes 56
Sultanas 56
Pitta bread 57
Basmati Rice 58
Honey 58
Digestive biscuit 59
Cheese and tomato pizza 60
Ice cream 61
New potatoes 62
Coca cola 63
Apricots, canned in syrup 64
Raisins 64
Shortbread biscuit 64
Couscous 65
Rye bread 65
Pineapple, fresh 66
Cantaloupe melon 67
Croissant 67
Shredded wheat 67
Mars bar 68
Ryvita 69
Crumpet, toasted 69
Weetabix 69
Wholemeal bread 69

High GI foods

Mashed potato 70
White bread 70
Watermelon 72
Swede 72
Bagel 72
Branflakes 74
Cheerios 74
French fries 75
Coco Pops 77
Jelly beans 80
Rice cakes 82
Rice Krispies 82
Cornflakes 84
Jacket potato 85
Puffed wheat 89
Baguette 95
Parsnips, boiled 97
White rice, steamed 98

bunny3 · 09/02/2007 15:04

ok, dh has spopken to hospital who advise us to turn up at the delivery suite now and make a fuss. Not the calm birth experience I wanted! Perhpas if they monitor the baby it will put our minds at rest for the weekend.

This is baby#3 for us so I would hope for a rapid birth - dd was 1hour and 8 minutes from 4cm to delivery!

Is induction always painful?? It was horrific with ds.

Thanks for GI lists, I am familiar with the gi diet and generally eat well but during this pg I have eaten loads of white bread, cakes and rice crispies .. no wonder I have developed GD then.

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hoxtonchick · 09/02/2007 15:05

i had an epidural for both my inductions.... but the first was much much worse than the second, so i think you'll be fine. good luck! i'll look out for the birth announcement .

Heavenis · 09/02/2007 15:07

I hope everything goes well for you and they can give you some reassurance.
Let us know how you get on.

Heavenis · 09/02/2007 15:09

Brief Dh how to post so he can make the announcement

bunny3 · 09/02/2007 15:37

cheers ladies. We are off to hospital now but my gp warns we will probably be sent home again! I'll keep you posted.

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margo1974 · 09/02/2007 22:40

My advice is probably a bit late now but here goes

My doctor said that GD usually develops at about 29 weeks - so before that time your body can more or less deal with glucose levels.

I had GD with both pregnancies. I was induced and they were both healthy weights. dd1 - delivered at 38 weeks - 7lb 10oz
dd2 - (imo) delivered at 39 wks - 7lb 12oz

dd1 was delivered by ventouse and dd2 unassisted delivery. Perfectly normal births.

I hope you can get your head around your situation - I reckon your approach to your labour has a lot to do with how much you enjoy your birth experience. I had enough time to adjust to the idea of induction, but for you it's a bit of a shock.

I hope it goes well and I will keep an eye out for an announcement.

bunny3 · 09/02/2007 22:44

thanks Margo. I am due back at the hospital tomorrow morning to be induced! I am trying to be very positive but assume it will be painful.

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margo1974 · 09/02/2007 22:54

With dd2 - I had to have the pessary. I was waiting for it to really kick in - contractions came every 2 mins and I was able to manage with DH and mum rubbing my back. I didn't realise that I would be 4cm dilated when they checked me. The lady beside me was having gas and air for most of the morning and she was only 2 cm dilated. Although I was too much of a coward and asked to have an epidural before they broke my waters. I just didn't want to go too far and not be able to have effective pain relief when I needed it. Don't let the fear take over!

Just remember every pain you feel is one less before you meet your little one. Good luck and take care.

Margo x

margo1974 · 09/02/2007 22:55

And get a good nights sleep tonight.

I hadn't slept for 24 hours by the time I delivered dd2 and didn't sleep properly for another 12 after that

suis · 10/02/2007 02:07

Take the NHS one as well... you've already paid for it in taxes... misdirection of NHS funds isn't your fault ! I would take every scan I could get, any second opinions or extra information is always good to have.

suis · 10/02/2007 03:09

Sorry, I think that post was meant for a different thread.... don't know how I managed to do that.

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