Did you read Henci Goer's article on it that I posted?
Did you read Henci Goer's article on it that I posted?
No I didn't Kel, could you please post a link?
Thanks LC, that's a lot more in-depth than my understanding was.
If you like PZ I can hunt up my lecture notes about this subject for some more info for you?
That'd rock :D
LOL it's stickied at the top of this forum area, as well as Michel Odent's view on GD! Missing some good stuff ;)
https://www.bellybelly.com.au/forums...ci-goer-39831/
Odent (the most famous Ob in the world!) on GD: https://www.bellybelly.com.au/forums...iabetes-80310/
I :heartbeat: Odent.
Diabetes is very high in the aboriginal community, it didn't surprise me that she would get it, her Mum probably had it as did her Elders all most likely not diagnosed.:
You are very right, a good diet and excersise is one of the tricks. My GF had it in her 3rd pregnancy, she was the same build as you (definitely not overweight!) and hers was treated with diet and excerise.
If your comfortable with your decision, that is all that matters :)
Ok I found them! I warn that is going to sound clinical so no offence or distress is intended (I am copying as is written with some minor editing).
The Effects of Diabetes On The Neonate
Increased risk of malformations - More type 1 and type 2 related due to unstable metabolic function during bone development.
Increased antepartum and intrapartum death - exact cause unknown.
Increased perinatal mortality - not high though 1% increased risk in GDM mothers and 4% increase in type 1 and 2
Increased weight of baby, placenta and amniotic fluid.
Increased incidence of pre-eclampsia
Increased risk of pre-term delivery.
Increased risk of caeserean section, obstructed labour, and impacted shoulders.
The increased availability of glucose increases the size of the baby, placenta and the amount of amniotic fluid. This process may then increase the likelihood of placental insufficiency, polyhydramnios (increased fluid), pre-eclampsia, pre-term delivery and related complications.
Post birth, the infant of a diabetic mother is at an increased risk of;
Respiratory Distress Syndrome - increased amounts of insulin interferes with the biochemical production of surfactant
Transient Tachypnoea of the Newborn - usually post cesearean section.
Hypoglyceamia - due to decreased glucose and fat metabolism.
Polycythaemia - increased amount of circulating red blood cells, which can then lead to;
Hyperbilirubinemia - increased circulating bilirubin which causes jaundice which may mean bub needs phototherapy
Renal Vein Thrombosis - Query if this is caused by the polycythaemia or dehydration
Cardiomyopathy - reversible septal hypertrophy related to increased glycogen storage and increased muscle
Cool (well not *cool*, but you know!) thankyou :) So all of that I assume is based on poorly managed and/or the more severe or advanced cases of GD?
Diabetes or Gestational Diabetes does that relate to? Totally different things.
For the worst case yes, but in my personal experience, I have seen well managed ones need some help controlling sugars and such. Where I worked had a "clinical pathway" for infants of diabetic mothers which was basically testing sugars and offering top up feeds.
FWIW I have seen all types of women have GDM, there is no one particular type. But if you are happy with your decision and consequences of it, then go for it.
It relates to both.:
PZ- am I right in thinking you have a history of PCOS??
If so, I would think that puts you at an even greater risk of GD...
Nope? :):
Plus when a gd baby is born it needs a bit of monitoring (what the docs told me) coz they're on their own once they are out of the 'sweet shop'
Pz, I THINK (remembering back to human biology at school.....long time ago) carbs turn into sugars in your bod which is the reason for low gi stuff.
Sent from my iPhone using Tapatalk
https://www.bellybelly.com.au/forums...duction-11009/
A big thing they say with GD babies is they will be big because of the GD (see link above):
Expectant Management Versus Labor Induction for Suspected Fetal Macrosomia: A Systematic Review
Luis Sanchez-Ramos, MD, Sara Bernstein, MD and Andrew M. Kaunitz, MD
From the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Florida, Jacksonville, Florida.
Eat low GI, exercise and follow what feels right. Mothers have a powerful intuition. None of us want our babies to die or come to harm, so we must always respect their decisions and choices.:
CONCLUSION: Based on data from observational studies, labor induction for suspected fetal macrosomia results in an increased cesarean delivery rate without improving perinatal outcomes.
I haven't read the rest of the thread.
I didn't do the GD test. It upset some apple carts the first time round, and lots of people who were pregnant just before me felt like they had been duped for believing the HAD to have the test, and lots were defensive about having done it 'routinely'.
I just didn't feel that I was in any combined risk category, so I declined. The second time round was fine, cos my HB midwives knew that everything else was tracking well, and having a good, all-round knowledge of my lifestyle, birth history and notes on the pg meant that they weren't going to be relying on test results to 'manage' my pregnancy - they just needed all the other skills they have learned from helping women birth over their collective years of experience :)
Anyhow, people are confronted by non-compliance, especially when they know you're pregnant (all hail the white coats!), and are often threatened by it. It doesn't have to be your story. Go with your instinct to avoid it. Your job is to birth your bubba, not to be worried about being a 'good girl' and doing everything they tell you to do :hug:
I haven't read the rest of the thread.
I didn't do the GD test. It upset some apple carts the first time round, and lots of people who were pregnant just before me felt like they had been duped for believing the HAD to have the test, and lots were defensive about having done it 'routinely'.
I just didn't feel that I was in any combined risk category, so I declined. The second time round was fine, cos my HB midwives knew that everything else was tracking well, and having a good, all-round knowledge of my lifestyle, birth history and notes on the pg meant that they weren't going to be relying on test results to 'manage' my pregnancy - they just needed all the other skills they have learned from helping women birth over their collective years of experience :)
Anyhow, people are confronted by non-compliance, especially when they know you're pregnant (all hail the white coats!), and are often threatened by it. It doesn't have to be your story. Go with your instinct to avoid it. Your job is to birth your bubba, not to be worried about being a 'good girl' and doing everything they tell you to do :hug:
I had a friend who was 16 when she had her bub and she ended up with GD and still has diabetes today.. Shes 21 now
But I guess its really up to you!
I declined the GD test when I was pregnant with Lucinda. My previous history and just the general feeling in myself told me I would be fine. Turns out I was right ;)
Just thought I'd update!
I went into my midwife appointment a few days ago very nervous about that she'd say to me when I mentioned I wasn't going to do the GD test...so we got around to discussing it, she said 'Oh, I see you got a referral for the GD test, how did that go?' And I said I didn't do it, and she said that was fine, that all of my risk factors are very low and in her opinion there was no need for me to have it done. She was pleased with my healthy eating and exercise, and confirmed that if I were to have had GD that is all they would have done to control it anyway...so all in all, not only do I feel happy and comfortable in my decision, but I have the extra bonus of being backed by the program and the hospital, which tbh in all my hospital cyniscm, I didn't think that would happen, and it did. Excellent :)
Just read through, Great news PZ :)
I'm glad you're feeling happy and confident!
Almost 30 weeks already - holy crap that's going quickly!! xo
Great news PZ :)
Instincts rock :)
Excellent PZ!
yay, what a big weight that must of been lifted off your shoulders :hug:
Just thought I'd add that I had GD with my first pregancy and I was glad I had the test as I did not fall into any of the at risk categories. I was lucky enough to manage it through diet and my bub was an average weight of 7lb 3 (I believ this is becasue I controlled it so well). The other reason I was glad to know I had GD was that you are then at a higher risk of type 2 diabetes later in life and I would rather know this now so I can do my best to prevent this. I figure it's the same as knowing family medical history like having high blood pressure or high choelesterol. Anyway thats just my view on having the test :)
If you are worried you may have made a wrong call, you could always get a test kit yourself. They are about $50 or you could just borrow a friends from time to time if you know anyone that has one. Most kits come with more than one needle so you don't have to worry about getting something as long as it gets changed before and after each time you use it if you decide to go the friend route :) HTH
Another update, had the obligatory appointment with an OB at the hospital today (omg, appointments at hospitals are AWFUL, I'm so glad mine are all at home normally!) Was a stupid appointment, a two hour round trip on public transport for 15 minutes getting okayed by the OB. When she asked if I had had the glucose test I was a little nervous saying no, but surprisingly even she was fine with it. Yay! Was a nice surprise, as only moments before she was telling me how homebirth should only be allowed with hospital approval, and that IM's were a bit risky as they don't have the support of a hospital. I just smiled and nodded. But yay for this program, I went into it prepared to stand my ground on things and so far I've met no resistance whatsoever. Also learned that from 36w5d if I go into labour, I can still birth at home :thumbsup:
Woohoo go PZ! Glad to hear everything is falling into place for you :)
Sent from my iPhone using Tapatalk xoxox