GD - Maternal Fetal Medicine/High Risk doctor?

gen2009 · March 2014

I've noticed some women with GD say they have regular ultrasounds done at their high risk doctor, even when they're just diet controlled. I feel like this is a bit of overkill. No? I am 18 weeks with my second pregnancy and have GD again, this time on Glyburide instead of inulin (so far) and my OB has no plans of sending me to a high risk doctor.

The only reason I saw an MFM last pregnancy was because of a false positive Quad Screen, which ended up being nothing.

Do you see a high risk doc separate from your OB just for GD? Are 3D ultrasounds the only thing they do? Do you go to them for all of your NST's and BPP's at the end? TIA!

pigtails1031777 · March 2014

I see both MFM and Ob. I'm gd but only diet controlled and test 2x a day. I'm a high risk pt from the beginning anyways so it's automatic u/s for me every 2 weeks now.

angelsnight · March 2014

My MFM has been my only doctor for my entire pregnancy (and my last). I was borderline diabetic when I got pregnant so my RE recommended I just go straight to the MFM.

I did have a lot of u/s but that was because I also have an incompetent cervix and had to check cervical length. Otherwise the only extra u/s I had for GD was a fetal echo around 22 weeks, a growth scan around 28 weeks, another at 36 weeks and will have another this week at 38 weeks. I've also had NSTs twice a week since about 33 weeks.

iqwedding3 · March 2014

GD can cause really big babies, the ultrasounds are probably all about checking growth.

gen2009 · March 2014

Do mfm's ever support natural birth plans? Vbac's?

Rrrrrachel · March 2014

When gd is well controlled, especially by diet but also by meds, the big baby risk is way reduced. I'm diet controlled and only see my midwives.

gen2009 · March 2014

Actually, no. The high resolution scans check a lot more than growth. Also, the biophysical scans and non stress tests can be done at a regular radiology clinic or hospital. So I'm just not sure what else an MFM would provide?

JoeysLady · March 2014

gen2009 said:

Do mfm's ever support natural birth plans? Vbac's?

I saw MFM for my second pregnancy due to preterm delivery with my first. I did the 17p injection,s and had cervical length checks via u/s. I also had GD and had to report my sugars to them. I was able to continue seeing my midwife throughout the pregnancy (she was my primary care provider) and deliver at a birth center since I was diet controlled with my GD and made it to 36w6d and 19 hours

TradeMama · March 2014

I see both an OB and MFM for diet & med controlled GD. They do NSTs and BPPs weekly now (38 weeks now) and measure fluid, placenta health, and baby's size. Generally, they just check that my body is still supporting the baby and that nothing has started to break down. At my regular OB it's the quick pee in a cup/Doppler appointments so very different.

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