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

Insulin controlled GD and early induction

5 replies

Piplette · 12/10/2019 23:47

I'm currently approaching 37 weeks and a month or so ago was diagnosed with GD.

I'm currently on 4 metformin a day and on Thursday was put onto insulin as my fasting levels are always too high. Results so far are still hit and miss.

I met with the consultant at 35 weeks. Measurement of my bump put me at 39 weeks - I've always been measuring 2 weeks ahead now measuring 4 ahead but they said they weren't worried.

Last NHS scan was at 32 weeks and they said I was bang on 50th percentile but had slightly higher than desired fluid levels - this was all triggered by a private scan with better equipment which showed baby was measuring big.

At last consultant appointment I expected to be given an induction date but his view was I should be fine to be left to go naturally.

I have another scan this week and am now a bit anxious about their lack of intervention/plan.

My last baby was a week early and started with waters spontaneously going which poses a risk of cord prolapse where there is excess fluid. She was also on the 96th percentile so this baby could be bigger.

The advise from my mw and diabetes nurse was to cry and beg for induction but surely I shouldn't have too? The norm in most cases similar to mine seems to be induction at 38 weeks. I'm all for taking the advice of the professionals but I'm wondering if I do need to take a stand and push for induction as I just feel like they are not interested and advice from different medical staff has varied so I'm not sure who is right. Surely a mw would only encourage me to push for induction if it is the right thing and if it is why does the consultant seem reluctant.

Appreciate if anyone with similar experiences could share their outcomes!

OP posts:
Are your children’s vaccines up to date?
Piplette · 13/10/2019 19:53

Shameless bump

OP posts:
RolytheRhino · 13/10/2019 19:57

No idea, sorry OP. I do know someone with excess fluid who was kept in on the NHS from diagnosis until birth though- maybe ask for a second opinion?

RolytheRhino · 13/10/2019 19:58

Also, though incredibly underhand, if you keep going in for reduced movements most places automatically induce at 38 just in case. So if you get nowhere with begging, that's always an option.

Lwmommy · 13/10/2019 20:02

I ad insulin controlled GD and was induced at 37 and a half weeks, didn't have to beg, was just told it was the best thing. Did was born 8lb 11oz so if going by the 1/2 a lb a week standard gain rule would have been over 10lb by 40 weeks.

wonkylegs · 13/10/2019 22:11

I was in a similar position (GD, insulin) with DS2 but was officially diagnosed as having polyhydramnious at 36wks when I went in and at the weekly scan and started off by saying how uncomfortable I was, my skin felt like a drum.
They kept saying we'll monitor and wait, I was booked in for a planned section at 39wks but as soon as she saw my scan and decided I was a risk she brought it forward and said right you can go home and get your things then come in and we'll push steroids for 2 days in hospital and then push up your section. Turns out he was coming anyway as my waters broke as I was getting ready for theatre... still had a section as I have problems with my hips and DS1s birth hadn't gone well.
Things moved very quickly once she made a decision.
Every scan said both my boys were huge, my bumps were huge .... DS1 was 6.5lb, DS2 7lb
GD resolved within hours of giving birth.

You might need to make a fuss about your concerns as they should at least be reassuring you as why it's ok.

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