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i had GDM with both my pregnancies. well controlled
with diet and daily monitoring. laboured spont at 38 weeks with first and arm at
41 weeks with second.i had the first at birth centre and transfered to KEMH with
second. even though i had private obstetrician back up both times there was
never any pressure to be treated differently. i actually chose an elective
induction at 41 weeks. i guess it just depends on the individual situation.
babies 3.5 kg and 4.0kg.
zoe
----- Original Message -----
Sent: Tuesday, May 09, 2006 12:22
PM
Subject: Re: [ozmidwifery] GDM
I believe that Liz meant the baby died in utero,
while awaiting the onset of spontaneous labour'
Di
----- Original Message -----
Sent: Tuesday, May 09, 2006 1:56
PM
Subject: Re: [ozmidwifery] GDM
insulin dependant diabetics are given a insulin
infusion at the hospital i work at their off spring are taken to the nursery
and bsl's done on them if they are ok then they go back to the mother to
direct room in. if not they are given dextrose via a ivt until they can
stabalize and then go to their mothers. it seems like your case was mis
managed medically. i hope this senario does not happen to anyother
unsuspecting mother.
regards
----- Original Message -----
Sent: Tuesday, May 09, 2006 12:57
PM
Subject: Re: [ozmidwifery] GDM
I believe that insulin dependent GDM is a
different situation. Didnt the US pick up the macosomia??
How does this very low rate of unexplained
deaths in utero compare with that of the general , non diabetic
population?
Cheers,
Di
----- Original Message -----
Sent: Tuesday, May 09, 2006 12:39
PM
Subject: RE: [ozmidwifery]
GDM
Dear Readers, I saw this as a student, very well controlled GDM
(but on insulin), the woman chose to wait for natural labour at T + 7
despite encouragement from some doctors for IOL. She had CTG's and USS
all of which were perfect however lost her beautiful daughter the next
day - only explanation given was macrosomia. Was a heartbreaking
experience for all involved.... Liz
Dear Diane, This decision
comes out of the conference held annually in the US on GDM. This
last one concluded that diet controlled GDM should not go beyond term
due to the risk ( very low, <1% ) of sudden unexplained deaths in
utero beyond this time. Apparently you can have a baby with U/S
and CTG all indicating foetal well-being and within a few hours have
the baby die without any explanation. Katy.
----- Original Message -----
Sent: Monday, May 08, 2006
12:38 PM
Subject: [ozmidwifery]
GDM
Hi wise women,
I think this may have been a thread not
long ago, but can anyone point me to some research on the safety of
going past the "due date" , for a woman with well controlled
gestational diabetes?
My step daughter, in Tamworth, has
been informed that although she is at no higher risk than anyone
else, they wont 'LET' her go past due date!! Lucky I wasnt there at
the appointment!!!! Maybe later, he he he!! I love a good
debate.
Thanks,
Diane
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