PREGNANCY-BIRTH Messages for December, 2002: Re: unexplained stillbirth -For Dr. Samir Fouad Aziz

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Re: unexplained stillbirth -For Dr. Samir Fouad Aziz

From: Liz (anonymous@obgyn.net)
Tue, 3 Dec 2002 10:32:45 -0600 (CST)

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In reply to: anonymous@obgyn.net: "Re: unexplained stillbirth -For Dr. Samir Fouad Aziz"
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He means in the mother -- the placenta degrades faster in diabetics than in non-diabetics and can cause fetal death due to lack of oxygen, etc usually after week 38. Placental degradation takes a while and can be detected by u/s (they have to look for it) and by NST (the heartrate will be steady and not accelerate with movement). I've not heard of a 2-Hr glucose test. Usually you take a 1-Hr between weeks 24 - 28 when placental hormones are likely to be interfering in glucose absorption. Many women fail this test (there's no reading taken before the test as a baseline and no fasting required). They are then given the 3-Hr test after sticking to a special diet. If you had these tests during weeks 24 to 28 and passed you weren't likely gestational diabetic. Gestational diabetes is the inablitity to effectively use the insulin that your body makes due to interference from hormones produced by the placenta. Pre-gestational diabetes are Type I and Type II diabetics who had the condition before pregnancy. Not a doc, 33 weeks pregnant and found out at week 26 that I'm diabetic (not gestational).

At Tue, 3 Dec 2002, anonymous@obgyn.net wrote: >
>At Mon, 2 Dec 2002, samir fouad Aziz MD wrote:
>The most common causes of unexplained late fetal death is
>>diabetes,however,cord accidents like cord around neck can cause it.
>
>Dr Samir,
>
>Are you saying that the most common cause of late fetal death is
>diabetes in the infant or in the mother? If a person had passed their
>two hour glucose tolerance test, are they still at risk?
>
>What is Pre-gestational diabetes?

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