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Diabetes and birth/labour

Emma - posted on 01/29/2010 ( 2 moms have responded )

816

Hi, I'm currently measuring 35/36wks when I am only 32wks. Does anybody know if I keep measuring 'big' if I will have to be induced and if I do when will the best time for this to happen? I'm diabetic and this is my 2nd child but with my first I was just suspect gestationaldiabetic and because it wasn't treated I developed type 2. I ask the midwives and they aren't sure. Any info would be great, thanks in advance

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Emma - posted on 01/31/2010

816

Hi Seren, thanks for the detail. I haven't had an ultrasound since 4th Jan for my daibetes in pregnancy. My midwife was going to send me for one last monday but thought it best I went into see her again tomorrow (monday) and measure me again herself and then if she isn't satisfied she is going to send me for an ultrasound or atleast that's what she said last week but sometimes my midwifes change from week to week. I am still on 500mg of metformin (3 daily with meals.)
I am a bigish girl but from my booking appointment they have measured me and only up until now have I started measuring 'big' apart from last week I was actually measuring a week smaller, so I'm completely confused atm. Hopefully, I have a wider view tomorrow and alot more is explained to me about what will happen. Don't Iget induced anyway because of diabetes or is that just like a chinese whisper? If I am still measuring 'big' tomorrow might my midwife advice me to be induced at 37ish weeks if it is actually the baby?
Thank you so much for your help, it's made me a little less agitated as to what will happen.

Seren - posted on 01/31/2010

Hi Emma

Besides measuring big have you had an Ultrasound to get an idea of the size of the baby? Are you on insulin? Have you started on insulin since the pregnancy? I am a midwife and it is not that unusual to see someone measuring bigger then their dates. Your doctor/ clinic/ midwife should also take into account your size (ie if you are a tiny girl or a bigger girl), they also need to consider how much fluid is around the baby. Because you are measuring bigger doesnt always mean that the baby is big.

I would ask for an Ultrasound - which is a good idea anyway given your diabetes history and that will also give you a estimate of the babies weight.

If they do induce you, i would think it would be 37-38 weeks. They wouldnt induce you before that for risk of having a prem unless it was absolutely necessary.

Goodluck, let me know how you get on!