search:

Re: Help: Does having PCOS, Insulin Resistance, Previous miscarriage

From: Donna (anonymous@obgyn.net)
Fri, 08 Aug 2003 19:51:05 -0600

Hi Anna:

Yes, you are considered a high risk pregnancy. It is possible that you were diabetic with your last pregnancy and no one knew it. Had anyone done a sugar challenge test on you? Did your doctor have you checking your blood sugar? Were they regularly checking your urine for sugar in the urine? When I became diabetic at 23 weeks with my first pregnancy, there were no signs of sugar spilling into my urine.

I have been blessed to have two children, full-term and healthy, even though I have PCOS and weighed 295 and 325, respectively, when I got pregnant. I also was 31 and 35 years old, and developed gestational diabetes. So while your dr. may be "safe" in saying he'd like you to lose weight before your pregnancy, it is possible to be overweight or even severely obese and still have a healthy pregnancy.

With my first child I developed diabetes around week 23, with my second I developed it at week 12. I suspected I was diabetic early with my seonc because I had asked my dr. for a glucometer at the beginning of my pregnancy so I could check my fasting blood sugar. Normal range for pregnant women is 70 to 90 fasting; the day mine hit 100 I had an appointment with him anyway, and my in-office urine test confirmed blood sugar in my urine. I was started on insulin (whcih I took with both pregnancies) and I followed a diabetic diet, and things were, thankfully, just fine.

I did end up having a c-section which is a very common complication with women who have PCOS and gestational diabetes. The dr. could not let the baby go past the due date because the placenta breaks down, so we induced and after 14 hours of pit labor, my very un-ripe cervix had only dilated to a 5. So a c-section it was, and with the second one we just skipped the induction and did the c-section.

The most important thing, I would think, is to find ONE high-risk doctor that is willing to follow you all the way through. It is odd that a clinic would rotate you through OB-GYNs. If you have a reproductive endocronologist, that would be ideal becuase they specialize in high-risk pregnancies by default. You need and deserve highly competent medical care, especially after your first experience. I am so sorry to hear of your loss, and hope it is your very last one.

Please feel free to email me privately at: dmirabile@att.net

Thanks.

Donna in Utah

Anna wrote:

> Hi everyone,
>
> In my previous pregnancy of 5 months, I was with a different OB than my
> current one. She was quite good but her office and the endocrinologist
> were not really working together which bothered my husband and I. Before
> we could do something about it, at one of my regular OB checkups I was
> told there is no heartbeat and there had been a fetal demise. My
> current OB doctor did my D&E and was very good and specializing in
> pregnancy complications. I transferred to his overall healthcare group
> which has endo, high risk OBs etc all communicating through one system
> which I liked.
>
> So one of the things that has been bothering me is although my OB is
> good, he doesn't have time as he is so popular and his appointments are
> booked 2 months in advance usually. Also at his clinic there is a
> rotation with all OBs (so I would have to repeat my history all the time
> - they never read the notes!). The endo who I am working with asked me
> not to get pregnant till I lose 30-40 pounds. I am at 27.5 BMI right
> now. Despite this, my husband and I made the decision to TTC after
> consultation with a maternal fetal specialist.
>
> Now with PCOS, being a borderline diabetic, a previous miscarriage at 21
> weeks shouldn't my OB/OB's office proactively be contacting me and
> putting me on a plan (diet + medication + monitoring)?
>
> I can't keep switching doctors but I am very concerned about not getting
> the care that I think I need. What are things that need to be monitored
> for pregnant PCOSers (I didn't know I was a PCOSer in my last
> pregnancy).
>
> Thanks for your time.
> Anna
>

recommended search...
Google
OBGYN.net forums endometriosis zone Web
use when must restrict search to only the pcos forum...
Enter search keywords:
Returns per screen: Require all keywords:
Return to [ PCOS Discussion Forums ] Technical Problems: webmaster@obgyn.net
Last Updated: Mon May 19 17:11:55 2008

home | medical professionals | women | industry | forums | international
e-mail | about us | advertising | our sponsors | contact us | disclaimer |

This information is provided for educational purposes only.
Please read the disclaimer. ©1996-2008, all rights reserved.
Do not reproduce without permission of MediSpecialty.com