:
Induction For Gestational Diabetes
Even where there is a medical condition involved, for example, Gestational Diabetes, it is worth researching and asking your Obstetrician and / or Midwife to see if induction is going to offer more risk than benefit. The American College of Obstetricians and Gynecologists has published a study which you can read here (which you might like to print out and show your own Ob), which concludes:
“Based on data from observational studies, labor induction for suspected fetal macrosomia (large baby) results in an increased cesarean delivery rate without improving perinatal outcomes.”
They state:
“Summary statistics for the nine observational studies showed that, compared with those whose labor was induced, women who experienced spontaneous onset of labor had a lower incidence of cesarean delivery and higher rates of spontaneous vaginal delivery. No differences were noted in rates of operative vaginal deliveries, incidence of shoulder dystocia, or abnormal Apgar scores in the analyses of the observational or randomized studies.“
Apart from this, not many Gestational Diabetes babies or other babies believed to be ‘huge’ end up being born abnormally ‘huge’. I have heard more stories of these babies being born early through recommended inductions only to arrive tiny, of average size or to have breathing problems due to unexpected pre-maturity. One midwife recalls a birth in early 2006:
“Overuse of inductions is a real concern to me. So many women coming in for induction and the reasons seem so vague sometimes. I was involved in a birth a few weeks ago where the woman was induced because of previous macrosomic (big for dates) baby. She had gestational diabetes with that pregnancy and previous shoulder dystocia (first baby, this was her 3rd). We attempted induction at 36 weeks and it failed. Induction was again attempted at 37 weeks which was successful – baby was only 2750g – hardly macrosomic! The ultrasound had estimated a baby weighing 3500g so it wasn’t even close. I think if she had that baby at the first induction attempt at 36 weeks it would have had to go into Special Care as it would have been under 2500g which is our cut off. Frightening.”