DD1 being 4.1kg means I am high risk.

My hospital has changed their protocols since I had DD2 there in 2010. I have had 2 good experiences there so was hoping this would be too, now I am not so sure.

I went for my check in appointment and they went over my history. As soon as the MW saw that DD1 was 4.176kg at birth she said that I was classed high risk for GD and will have to have the 75mg GTT test at 14 weeks, that also involves 3 days of dieting before the test and a 3.5 hour test.

The MW never even asked if I had GD or looked at the reason DD1 was that weight or the fact that within 12 hours she was down to 38.9kg.

I am doing shared care agian and with both DD's I went to the hospital 3 times each pregnancy. to check in, at 40wks and to birth. This time I have to go in to see an OB at 22wks, 28wks 34wks and 38wks. Why bother doing shared care if that is how they want it to be done.

I think I am going to ring and tell them I refuse the GTT test. I can do this right? I don't want to be seen as difficult though, I am not, I have the easiest pregnancies, labours and births anyone could ask for. I already got drilled for declining the NT scan.

I am within my rights to refuse are'nt I? I worry that because of the area the hospital covers has a very high youth pregnancy rate and (how to put this correctly) has a lot of problems they are quick to judge and I don't want them telling me I am putting my baby in harm. I am probably over thinking it and hopefully like the declined NT scan they will just note that I refused.

Sorry this probably is more a Boohoo.

Kazzo are you going to B or C hospital?

C, although when I went for my check in it was done at Cmdn

I am going south and can I tell you I am having the best most supportive time there! I am high risk due to past and clexane etc but I am being supported to make my own decisions within reason... Just throwing it out there :) maybe you could check it out!

Yes you're absolutely within your rights. Their terms for you sound totally ridiculous! I've never had the glucose tests and both times my midwives (1 independent midwife, 1 hospital midwife) were more than happy with that and agreed with my decision. I can't believe all the OB visits they want. DD was 3.9kg, nobody ever said a thing. I don't really think she was big at all tbh. Don't be afraid to speak up if you're not happy with the care, you're not supposed to feel like you're being managed like this, especially with your uncomplicated history.

You absolutely have the right!! DS was 4.3 kg and no mention has been made about me being more at risk next time.

I refused the GTT with my last pregnancy. I too was lumped into a high risk catagory with my last 2 pregnancies due to my son being 4.29kgs when born many years previously. I found it ridiculous as my son was to a different father so that had to mean something surely. Mine & DH's first living baby together was 3.45kgs and they chose to overlook that fact and focused instead on my first born's weight. It was crazy. In the end I delivered a 4 kg and a 4.1 kg baby with no problems whatsoever.
It sucks how they want to catagorise people so much now.

Joeve, okay sounds good,I have heard good and bad about B but I guess you get that with everywhere, C was great any other time I have gone there and I have always had great MW, I think maybe it was the MW at CMDN, she works there by herself and I guess follows everthing to the letter. I am going to call and tell them at C and I will judge their reaction and go from there.

PZ, I don't think that is big either, nore did I think DD1 was big, she was born very puffy and when that went down so did her weight, I was like you, had SROM and then stained water. They said her fighting off any infection caused her to get puffy.

Lisa, DD2 was only 3.7kg so she was not bigger then DD1 so obviously DD1 weight had no effect on DD2. I feel like I have been catagorised without them taking anything else into account.

Thanks ladies.

That's really interesting, DD was very puffy too. Didn't know that was why, but makes sense. I really hope they lay off, it's crazy to me that with a history of uncomplicated pregnancies and births you're classed as high risk. Makes no sense.

That's not really all that big. Were there actually any complications? Were you on a drip during labour?
You don't *have* to do anything - though they may tell you differently if they're so inclined. Talk to them. HOpefully someone there will be reasonable.

thats ridiculous, 4.1 is a normal sized baby.
Babies are born puffy cos they are born with extra fluids to compensate for the first few days before the milk comes in, thats why they all lose weight in the first few days/week and the puffiness goes down.
I think you can safely refuse the Gtt, maybe compromise if they are really getting silly by saying you'll have a GCT.
good luck!

I was also going to mention another option is to request to do the GCT instead at 28w if you aren't comfortable with completely refusing although you are 100% within your right to refuse if that is what you wish to do.

i refused the GTT in my last pregnancy. The one before that DS was 4.4kg & I did not have GD. Nor did I this time. No one argued with me, bascially just gave me the referral & said they have done their job. If I go I go, if I don't I don't. So I didn't & no one said anything at all. DS (of that pg) was over 4kg also.

I rang and got a lovely lady. She was suprised that the said I needed to do the test. I guess it really does depend on what MW you see. Anyway she said no worries, it will just get put down that I declined.

Now as for the OB visits that can be discussed after 20 weeks she said.

So glad it is sorted and I was not made to feel like I was not doing the best for my baby.

Jelly & Saffy, they wanted me to do this as well as the test at 28wks.

Like what everybody else has said, just refuse the test if you don't want to do it. My DS1 was 4.1kg, DS2 was 4.7kg (No GD either time). Both boys were overdue and quite puffy when they were born. DD this year was a tiny 3.8kgs. I did a growth scan around 30 something weeks and she was in the 40th% at the time (cue, Magnum ice-creams au-go-go from that point onwards :) A GP I saw last year said that some hospitals freak out if a baby is over 4kgs, but they're still normal. Nothing new there!
I hope you start feeling a bit more supported

which hosp is the b one?

You are well within your rights xo

Well that sounds much more sensible :)

Beans, B is the one close to you:)

kazzo, they can't do it that early and get a reliable result - that's why it's done at the time it's usually done because it doesn't tend to appear until 20-24wks. I'm certain I've read something about it. Basically your medwife is blowing hot air up your backside trying to get you to do something that is completely and utterly UNnecessary! My first baby was a fraction bigger than your DD1 and NEVER was I told that it was a risk factor for GD for subsequent pregnancies. I would politely refuse and say you would prefer to wait until the normal time frame to have the test and you can make a decision then. I''m assuming that if you tested positive for it that there would then be a hell of a lot of other constraints put on you and the later you have to deal with that **** the better!

I saw in the news the other week that my hospital is in the top 3 for women with GD. Maybe that is why they are trying to test women early?

I would be factoring in to that if they are a 'feeder' hospital for smaller hospitals to send their supposedly high risk pregnancies, such as GD. If a hospital handles cases like that, where a woman is forced to go there because she has something that makes her high risk, then their statistics are going to be artificially inflated. On paper, the hospital I always went to looks fantastic in terms of high risk statistics because they don't let you birth there. So their c/s rate is low overall, especially emergency c/s's. You can't go there to birth if you have GD either - you are forced on to the larger base hospital.

As a side question...how come you have to diet 3 days prior to the 75mg test?

I have done the test twice as I did have GD, but I never had to diet before hand?

I have zero idea, I was given a sheet with a list of foods and how many of these I should eat each day. Then I was to fast from midnight the day of the test.

Trillian. It is a feeder hospital for one small hospital around here but in most cases people will get sent to the next big hospital which is only 25 minutes down the road.

How odd! I had to fast, but no diet!

Well at least mw2 was more understanding!