No it doesn't really just mean the perinatal outcome for the baby. Because of the nature of the inaccurate testing, you could be unfortunately be told that you have GD, then as a result, be deemed high-risk, have to follow proceedures and protocols, which mean induction, exclusion from birth centres and we all know inductions often result in pain relief then assisted birth or even caesarean. So these are things that are not about the baby.

I am currently supporting a woman who has pressure on her from doctors despite her blood sugar levels being fine but they want to get an induction date in. Baby on the 50th percentile and their concern is that the placenta will deteriorate quicker if she goes past term. Mum is perfectly fine. So mum is fine, baby is fine, yet she is faced with all this pressure, and the threat of being thrown out of the birth centre if she doesn't agree to the induction by a certain date. Placenta function scans can be done, so she is going to see if she can negotiate to have them.

You seem very angry about this article - I am not one to tell people what to do and I think it would be very biased for people to hear the one side they hear from the Obs - what if no-one said anything about cigarettes causing cancer and that was kept a secret? People would be angry. People were angry. So where are the studies opposing the findings that Henci has made? As the midwife said, we'd know about it, but it's not been done. Why hasn't it been done? Do they know this is right?

Of course if you had symptoms and things were obviously wrong, you would do something about it. But these days there is so much interference even when nothing is going wrong... and not all of us want that. Some might, but not all. If you were already a diabetic I am sure this would be different. They are talking about Gestational Diabetes only here - not where you already have diabetes - as the Cochrane Review says:

"However, there has been no sound evidence base to support intensive treatment."

This doesn't mean don't treat it at all and I would think only treat it IF necessary. I haven't just picked the Cochrane Review because it agrees with the article, but because it is a huge medical database which independently reviews studies, excluding them or including them dependant on them meeting certain criteria. Anyways, we could go on about this forever probably but that's all from me.