New to the GD club-Induction?

klibby707 · February 2013

I haven't spoken to my doc yet, so my main concern is induction. Is it common practice to induce earlier? I'm reading information online and meet with two people (dietician and patient educator) this week to review everything.

I went shopping for new food last night, and once they teach me how to use the meter, I definitely will start.

Thanks!

5dogs · February 2013

My OB does not induce before 41 weeks if you're diet/exercise controlled (and are passing NSTs at 40 weeks) but I know other OBs push for inductions. I believe I would be induced at 39.5 weeks if I was on meds.

aibrean · February 2013

I'm due on the 12th and my doctor told me she wouldn't let me go past the 10th (just under 40w). We don't have a definite plan yet because it's still early.

klibby707 · February 2013

Okay, should I be more concerned if I ovulated later in my cycle on day 24? They still went by my last period date for my due date. So technically, I'll be not as far along (like a week earlier). Or is this not even a concern? I'll ask my OB too. Oh, and do they give extra us to all GD patients, or does it vary from your experience?

memali26 · February 2013

My OB was willing to go to 40 weeks for diet controlled. I was on insulin with both pregnancies and was induced at 39w with both.

Extra monitoring will depend on your doctor and the severity of your GD. Many diet controlled GD moms only get one extra u/s, some get none. Because I was on insulin I was having NSTs/BPPs 1-2 times a week for the last several weeks, plus a few random growth u/s thrown in early in 3rd tri with my second due to some concerns about her growth.

emriley84 · February 2013

I will be induced at 39w if he does not come before then. I am on insulin. My OB said he does not like his insulin patients to go past 39w because of the risk of placenta breakdown.

megsll · February 2013

I have been diet and exercise controlled with both pregnancies (so far) and my midwife and her overseeing OB group want me to deliver by 41 weeks. I had an NST and Fluid check at 40 weeks with my first baby and went into labor @ 40 weeks 3 days. All practices are different, but I think most will not want to induce before 40 weeks for diet controlled.

megpeg · February 2013

I was induced last time because they told me DS was too big and he wasn't. I have talked to my dr and midwife and they won't do it this time. They like things to happen naturally. I am really happy about that because I really would NOT want to induce again.

Sea Conquest · February 2013

I would suggest doing some independent research on this topic because what is standard practice isn't necessarily supported by the evidence or ACOG. I would suggest you read this as a starting off point, but the moral of the story is that GD does not automatically mean high-risk:

https://evidencebasedbirth.com/does-gestational-diabetes-always-mean-a-big-baby-and-induction/

Much will depend on whether you are diet-controlled or require medication, as well as the results of your ultrasounds, BPPs and NSTs.

I had GD with my son and was diet-controlled. I delivered at 41w1d -- spontaneously and vaginally -- and no induction was ever discussed by my midwife or peri. I had my placenta encapsulated, and there was no indication of placental insufficiency.

I am diet-controlled to date with this pregnancy and would not consent to an induction unless there were confirmed medical issues with the baby, the placenta, or me.

You can also always refuse an induction if you feel that there is no evidence to support it. It is your body and your choice, and no doctor "let's you" decide how to birth.

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