GD request to avoid early induction

4Angel5 · September 2013

all the late night posts I'm catching up on have me thinking. OB/midwife said last week they would schedule my induction if I didn't deliver by 39w 4d due to GD. I haven't seen any indications as to why they wouldn't wait a little longer with my GD being under control with diet, aside from being at risk for a "bigger baby leading to greater risk of a c". Shouldn't they at least try to measure via US to see if that's likely an issue before jumping right to induction? I haven't had an us since the midpoint, haven't gained any weight in the past month, and baby is now measuring behind slightly, but likely due to slightly lower station. I also have a history of larger than normal placenta size, which is why I don't always trust their belly measurements. They also said LO's sugar should re regulate after birth and that wasn't the issue with waiting.

Plan to bring this up on Wednesday, but didn't know if I am kidding myself to avoid induction or missing some other risk factor they haven't mentioned? Anyone know of other risks I'm missing?

4Angel5 · September 2013

I must admit I was shocked when the midwife brought it up. No one has mentioned it to me since my initial dg, but I knew it was a possibility.

katdesear · September 2013

I have GD and they performed a growth u/s at 34 weeks. LO ended up measuring small so no need to induce early. I've managed my GD through diet and exercise as well.

SweetPeaK26 · September 2013

I don't know the actual risk factors of GD, having never actually been diagnosed. However, my OB does think that there is a good chance that I did have it with dd1, but still passé my test.

The main reason he think so was because of her size. I didn't gain a large amount of weight, but she still came out much larger than anyone would have guessed based on the way I was measuring etc.

I guess there's not really a point toy post, except to say that my baby did have complications due to her size and not being able to deliver easily. She was in the nicu for 8 days. I was told that if she had delivered sooner (or been smaller) that we most likely wouldn't have had some if not all of the problems.

kimberlymacrae · September 2013

So I do have GD and I have a strong opinion on this due to hours of research and speaking with my own OB and GD counselor.
Note: I am not a medical professional and every pregnancy is different, esp. when GD is involved.
Having GD (at least in our hospital's policies) qualifies you for a 38w induction option. For women who are having issues controlling their glucose or the wieght of their baby this is a great option.
However for women who are either considered "borderline" (jeezus I hate that term) or can easily control their glucose with diet and the weight of their baby is considered "normal" then these women can continue with the "regular pregnancy timeline" (with all else held constant, i.e. no other issues such a BP, fluid levels, etc.).
GD's should qualify you for really close monitoring for weeks 36-41. NSTs and U/S typically to keep and eye on movement, activity, weight, growth, stress, etc. I agree with PP that if/when things go south they could go south fast. I have bi-weekly scans and I am very in tuned with what "going south" entails (glucose spiking, baby stress, etc.)
However at the end of the day if your glucose is under control and the baby's weight in within range then GD alone doesn't have to be the reason for induction.
If you've had other issues with BP, fluid levels, etc. then your mid-wife might be speaking to that with wanting you to go early. You should ask for a clarification.
I plan on going to 40w5d if I can. My glucose testing is right on point. Baby is within the 58% wieght wise and so we're going to continue to move forward.
Private message me if you have any specific questions or would like to bounce off any questions!!!

idilist · September 2013

I have GD that's controlled by diet. Because my GD is controlled by diet and I don't have any other complications, they are willing to wait 10 days past my due date. (Today was supposed to be my due date. I saw my OB on Friday. She said that if I don't deliver by next Friday, we would have to schedule the date for induction.) I live in Canada - apparently doctors have a different opinion about the risk over here.

4Angel5 · September 2013

kimberlymacrae said:

So I do have GD and I have a strong opinion on this due to hours of research and speaking with my own OB and GD counselor.
Note: I am not a medical professional and every pregnancy is different, esp. when GD is involved.
Having GD (at least in our hospital's policies) qualifies you for a 38w induction option. For women who are having issues controlling their glucose or the wieght of their baby this is a great option.
However for women who are either considered "borderline" (jeezus I hate that term) or can easily control their glucose with diet and the weight of their baby is considered "normal" then these women can continue with the "regular pregnancy timeline" (with all else held constant, i.e. no other issues such a BP, fluid levels, etc.).
GD's should qualify you for really close monitoring for weeks 36-41. NSTs and U/S typically to keep and eye on movement, activity, weight, growth, stress, etc. I agree with PP that if/when things go south they could go south fast. I have bi-weekly scans and I am very in tuned with what "going south" entails (glucose spiking, baby stress, etc.)
However at the end of the day if your glucose is under control and the baby's weight in within range then GD alone doesn't have to be the reason for induction.
If you've had other issues with BP, fluid levels, etc. then your mid-wife might be speaking to that with wanting you to go early. You should ask for a clarification.
I plan on going to 40w5d if I can. My glucose testing is right on point. Baby is within the 58% wieght wise and so we're going to continue to move forward.
Private message me if you have any specific questions or would like to bounce off any questions!!!

I must have just missed your post the other week

but, I truly appreciate the reply! My GD counselor just told me the numbers to live by and how to do that - there were no follow-ups, and until the week of this post, I didn't think to reach out to them. My OB the following week didn't see the need to hurry up and induce, scheduled my induction for 9/26, at 40w4d, but my water broke on 9/21, my EDD. Just now starting to feel more like myself and trying to catch up on TB

Hope all is well with you!

katdesear · September 2013

Update, we induced at 40w3d

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