Dear all, Sorry my finger can't help the
double click. The US conference was referring to well controlled, non
macrocosmic babies of GDM mothers. Sharon is right about getting things in
perspective. Once armed with the facts that are out there and the Drs are using,
it is up to the individual woman to make her choice.
Katy
----- Original Message -----
Sent: Tuesday, May 09, 2006 3:47 PM
Subject: Re: [ozmidwifery] GDM
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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