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Re: gestational diabetes - consequences for baby

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 27 Jun 2002 12:27:42 -0500 (CDT)


At Wed, 26 Jun 2002, Allison wrote: >
>I would like to know exactly what the consequences could be for my baby.
>Here is my situation. My first pg found GD
>but it was controlled through diet, baby born 7lb 7oz. Now 2nd pg I
>insisted on early testing at 20 weeks, which found
>much higher sugar levels. I have been working with a program to keep my
>levels under control but have had to administer
>insulin. Everything was going fine, at the 32 week U/S found that the
>abdomen was slightly enlarged, about 1/2 week ahead of baby. At 33
>weeks, normal sugar levels, at 34 weeks, high levels so dr. put me on
>insulin during the day as well as at night, at 35 weeks v. good levels
>and at 36 weeks excellent levels, no highs. Then, in for the 36 week
>U/S which found the baby's abdomen developed at a 41 wk baby size, with
>rest of baby 35-36 weeks. I of course am upset, feel guilty etc, and am
>really worried about what this will mean for the baby. Will she be born
>with health problems? Will she be obese? Will I need a c-section? She is
>currently measuring overall size btwn. 7 1/2 and 8 lbs. But most
>important, I would like to know what health problems or complications or
>consequences there could be for baby. All weekly NST's have been
>"great" . I would also like to know why this has happened so quickly?
>Sorry for the very long mail. I must see dr. on Friday and am in fear.
>Thank you very much.
>
>--
>Allison
>

LArge babies with increased incidence of birth traunma and hence increased cesarean rate without any decrease in birth trauma rate. The above are the recognized complications of gestational diabetes.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
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