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<blockquote data-quote="BethTwydall" data-source="post: 2148748" data-attributes="member: 114937"><p>Hi Everyone</p><p></p><p>I'm hoping this post doesn't turn into a rant but just needing some advice from other diabetic mums/mums to be!</p><p>Bit of background, diabetic for nearly 20 years, control has been good for the past 7/8 years, hba1c around 45-50 and steady.</p><p>I'm a massage therapist specialising in pregnancy and teach pregnancy yoga. My mum was a doula for many years. I'm also currently studying Maternity Care at University. I am very well informed about birth, its a natural process that the female body is made to do. I am however also very that the NHS has guidelines that it uses for diabetic/'high-risk' pregnancies.</p><p>I attended a pre-conception appointment today, the appointment went well, as in the consultant said there is no reason why I can't go ahead with a pregnancy. He also said that my control puts me in the same place as the general population. The obstetrician however straight away said that I will have to be induced at 37 weeks. I thought to myself this isn't the time to start a battle and just simply said that I know I have choices. She said no, this is the NICE guidelines on which they follow. Not to mention there was 8 other people in the room for my appointment, but that's another issue!</p><p>In my own research I can see that the NICE guidelines have been created from very old research carried out when diabetic women probably weren't as well controlled as we can be now. I think we can all agree that technology has changed massively even in the past 5 years and control can be that much tighter. Also diabetic women don't all fit into a one size fits all model.</p><p></p><p>So my question is, did you refuse your induction? Did you get to make choices around your birth? Were you informed about your choices and given clear evidence based information? Was the evidence up-to-date?</p><p></p><p>I'm not even pregnant yet and I'm already feeling anxious about the forceful 'care' from the NHS. I'm going to do some more research and speak again to the diabetic consultant who was very positive and see what he says about this. </p><p></p><p>I understand that they induce as diabetics can have bigger babies, but only if they are not well controlled. As I'm aware, there is no evidence that diabetic women birth any differently from non-diabetic women, if their blood sugars are controlled, so why the need to induce?</p><p></p><p>Interested to have a discussion about this.</p><p></p><p>Thanks!</p><p></p><p>Beth</p></blockquote><p></p>
[QUOTE="BethTwydall, post: 2148748, member: 114937"] Hi Everyone I'm hoping this post doesn't turn into a rant but just needing some advice from other diabetic mums/mums to be! Bit of background, diabetic for nearly 20 years, control has been good for the past 7/8 years, hba1c around 45-50 and steady. I'm a massage therapist specialising in pregnancy and teach pregnancy yoga. My mum was a doula for many years. I'm also currently studying Maternity Care at University. I am very well informed about birth, its a natural process that the female body is made to do. I am however also very that the NHS has guidelines that it uses for diabetic/'high-risk' pregnancies. I attended a pre-conception appointment today, the appointment went well, as in the consultant said there is no reason why I can't go ahead with a pregnancy. He also said that my control puts me in the same place as the general population. The obstetrician however straight away said that I will have to be induced at 37 weeks. I thought to myself this isn't the time to start a battle and just simply said that I know I have choices. She said no, this is the NICE guidelines on which they follow. Not to mention there was 8 other people in the room for my appointment, but that's another issue! In my own research I can see that the NICE guidelines have been created from very old research carried out when diabetic women probably weren't as well controlled as we can be now. I think we can all agree that technology has changed massively even in the past 5 years and control can be that much tighter. Also diabetic women don't all fit into a one size fits all model. So my question is, did you refuse your induction? Did you get to make choices around your birth? Were you informed about your choices and given clear evidence based information? Was the evidence up-to-date? I'm not even pregnant yet and I'm already feeling anxious about the forceful 'care' from the NHS. I'm going to do some more research and speak again to the diabetic consultant who was very positive and see what he says about this. I understand that they induce as diabetics can have bigger babies, but only if they are not well controlled. As I'm aware, there is no evidence that diabetic women birth any differently from non-diabetic women, if their blood sugars are controlled, so why the need to induce? Interested to have a discussion about this. Thanks! Beth [/QUOTE]
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