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Re: A new poll!From: Caitlin Cusack MD (Caitlincusack@yahoo.com)Tue Mar 20 15:36:58 2001
>I want to know why the induction. Is it "standard" to deliver >insulin-requiring DM patients to be delivered at 38 weeks? Pt was a true gestational diabetic-she'd had GDM with her last pregnancy, tested for diabetes in between-so no she did not need to be delivered early. No fetal or maternal reasons for the induction. I think the reasoning here was that if she got delivered earlier than last time she might have a successful vaginal delivery. However, doesn't meet ACOG criteria for elective induction and GDMs can take longer for lung maturity. Given her prior indication for a section and her current cervical status I never would have offered her an induction at any point-even if she were 39+ weeks. I'm always curious about what others do when handed a patient mid-plan when that plan is one they are uncomfortable with...
-- Cait Cusack
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