Reply to Ob no longer delivering me due to having GD and insulin dependent, 35 weeks

Forum Index » Expectant and Postpartum Moms

Reply to "Ob no longer delivering me due to having GD and insulin dependent, 35 weeks - what to do? "

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.[/quote]

She's already been discharged from care due to being high risk (insulin dependent, out of control blood sugars, macrosomia) and her original OB cannot care for her anymore, it happens. She has already been referred, but doesn't want to see that OB for whatever reason. Your advice would make her seem crazy.

OP It doesn't seem like you understand you are a high risk patient, and both you and you baby can have serious outcomes during pregnancy, birth, and even after birth. You really should see who were referred to. [/quote]

Op here. The baby hasn't been diagnosed with macrosomia yet btw and my blood sugars are 95% under control. I am only on bedtime insulin at a low dosage and my MFM said my case isn't that serious at all. My last growth scan was 32 weeks and baby was measuring in the 99th percentile (he's also very tall btw). I will have another growth scan soon to see where he is at. I may be diagnosed with macrosomia then, but not yet. [/quote]
It's not possible to diagnose macrosomia until after the baby is born, because late pregnancy prenatal measurements can be wildly inaccurate. All they can do until s/he is born is make an educated guess.

There is a great article on Evidence Based Birth about macrosomia and the shoulder dystocia risks for a baby whose mom has insulin-dependent GD.[/quote]

Op here. Do you mind sharing that article? Would love to read it, thanks! [/quote]

https://evidencebasedbirth.com/evidence-for-induction-or-c-section-for-big-baby/

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

Those articles are years old, and they are not written by a doctor.

Please find a new doctor to discuss this with.  You want a safe birth for yourself and your baby.  [/quote]

Here's what ACOG now recommends for delivery with insulin dependent GD: 
- Deliver at 39 weeks 0 days to 39 weeks 6 days
- Estimated fetal weight ? 4500: Counsel regarding risks and benefits of a scheduled cesarean section

https://www.obgproject.com/2018/03/15/cme-qs-acog-releases-updated-guidance-gestational-diabetes-2/
[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics