I am almost 31 weeks pregnant, and it's going well so far. The baby was about 3 lbs according to the last ultrasound check 6 days ago.
My OB talked about the delivery process and mentioned that she would schedule the induction (just in case) on the 38th week. Isn't it too early for a diabetic who doesn't have any complications or issues with pregnancy so far?! I am very concerned about the whole situation, since I don't think my OB had dealt with too many women with type 1 diabetes (mostly gestational diabetes), which makes me a bit nervous.
I went to my endo today and shared my concerns with her. She (being type 1 herself and having two healthy kids) said that there is no reason for me to have induction if there are no issues (baby size or anything else) closer to the due date, and that induction at 38 weeks could be just too early. She said that I need to push back and be able to stand my ground.
Another concern I have is 'who will be controlling my blood sugar levels during the labor'? If it's just a nurse, would she know enough about diabetes in general? Sometimes I get the feeling that nurses at the OB office have no idea what type 1 diabetes is. At one of the appointments one nurse even asked me to do the glucose test by giving me a bottle with sugar water... and even after I told her that I have type 1 diabetes, she was not too concerned...
Unfortunately, I can't just go to a different doctor, since this is the provider covered by my insurance.
Did you have any similar experience with your OB? Do you have any advise on how to deal with such a situation and when to say 'no' to certain procedures?
Congratulations! Glad that everything went so well! Get lots of rest and enjoy this special time with Rachel!!
I have to say that I have delivered all three of my girls all at different gestational stages. That been said all because i started to have complications once i got to the last 8 to 6 weeks of the pregnancy. My ob always refered me to a ob that dealt with higg risk pregnancies, just because she really had much experience with diabetics and as a second set of eyes to double check the baby. I know that the nurses never ask for a bg reading, only urine and when it came time for me to do the glucose tolerance they totally skipped it, because they all knew i had diabetes.... so that is weird.
But, every doctor works different and they all have their ways. If you get to the 38 or so weeks and you develop any issues, and they suggest to get a ambnio, of course ask, but if you want to clear any concerns do it. and I will tell you what my high risk said to me with my last DD "If everything is well and you go into labor after having the ambnio, we will deliver a baby, it is not as complicated as if it was early in the pregnancy"
As far as the BG during the labor it would be check by the nurses, because the ob has to write on your chart that you are diabetic! That is been my experience at the hospital, but again it is all different. I know that since i wore the pump I was in charge of that, because my endo did not work at the hospital i deliver, so my ob just wrote the orders for insulin in case i need it if my sugar went too high.
I agree, put up a fight, compromise, tell your ob that you'll do as many non stress tests as she wants but that you're not willing to be induced at 38 weeks. Ou ob let us go to 40 weeks before inducing-baby was born perfectly healthy at 40 + 2 weeks. If we get pregnant again I'll be giving birth in Canada (first baby was born in the US) I have no idea what it will be like but I WILL NOT let them induce me at 38 weeks, don't care what they say (unless there's some other complications of course...)
Thanks Shannon! My doctor finally agreed to let me go to 40 weeks and then we will discuss next steps. You said your baby was born "at 40 + 2 weeks", do you mean you were allowed to wait up to 42 weeks? I am concerned that I am 39 weeks now, and my last exam 2 days ago showed that I am not dilated at all and just a bit effaced.
I just realized that 40+2 weeks is 40 weeks and 2 days :)
yes, it was 40 weeks plus 2 days :) I ended up being induced then, I think my doctor would have let me go a few days more if I had pushed-maybe :)
Thank you Sharon! I have an appointment with my OB at 40 weeks and 1 day, so there is a chance she can let me go a bit longer unless it happens earlier :)
Did you have any signs of labor or did you feel anything at all before your induction date?