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Type 1's and Pregnancy
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<blockquote data-quote="tigger" data-source="post: 325598" data-attributes="member: 11023"><p>My 1st was an induction at 38+6 (I only discovered after that different hospitals have a range of dates they don't let type 1s go past from 38-40 weeks. My hospital said they'd let me go to 40 weeks second time as my control was good last time.</p><p></p><p>The induction worked in that I went into labour but I found it incredibly painful, baby turned sideways and I stuck at 8cm. I had an emcs after 17 hrs and baby was fine apart from some low blood sugar and then jaundice a week later. Not great and it bothered me for a while but I wasn't too traumatised thanks to my amazing labour support/doula.</p><p></p><p>This is a helpful thread on mumsnet relating to experiences around birth that you might find useful. <a href="http://www.mumsnet.com/Talk/childbirth/371630-calling-all-diabetics-or-anyone-need-to-compare-notes-for" target="_blank">http://www.mumsnet.com/Talk/childbirth/371630-calling-all-diabetics-or-anyone-need-to-compare-notes-for</a></p><p></p><p>I had tried to psyche myself up with lots of positive stories but in the end it just didn't work.</p><p></p><p>The next pg I miscarried.</p><p></p><p>I then only managed to get pg 2 years later and after being told I could go to 40 weeks if my control was as good as the last time. A week later at the 6 week scan we discovered there were 2 babies.... I then went through you must have an ELCS until 20 weeks when NHS policy changed and suddenly it switched to well VBAC is an option if no. 1 is head down to you will have a VBAC and we'll induce you which I was not happy about. I got them to book me an ELCS which they did with the proviso of VE first and breaking waters. I was planning on turning up refusing consent to the VE and going straight for the ELCS but was prepared to give VBAC a chance if it happened naturally. Anyway at 33+4 rather unexpectedly over breakfast my waters went and by the end of the day I'd assisted the hospital stats by managing a twin VBAC. </p><p></p><p>So my advice would be:</p><p></p><p>1. Try alternate remedies to induce bearing in mind none worked for me! (sex, curries, pineapple, raspberry leaf tea, accupuncture etc)</p><p>2. Prepare yourself for either option mentally, don't get fixed on one. All that matters at the end of the day is a healthy mother and a healthy baby - both mentally and physically. So do all you can to prepare for a vb but keep in mind how you'd like a cs to go,visualise when you want to hold the baby, breastfeed if you're planning on doing it and prime your partner to advocate all of these things for you.</p><p>3. I found hypnotherapy helpful the 2nd time round so try out whatever methods you'd like for pain.</p><p>4. Get all the protocols of treatment clear with your consultant before it happens, e.g. at what stage they make you go on a drip, cfm, movement etc. See if you can negotiate a later induction with more monitoring closer to the date.</p><p>5. Be prepared to do what you want to do and ask for explanations if not given or fobbed off in medical speak. For example with my 1st they forced me to lie on the bed and not move as the trace kept on getting lost. With the twins I said I was standing and got the mw to rearrange wires around me. You get more forceful the 2nd time.</p><p>6. Don't expect them to know anything about diabetes so you/your partner will need to advocate for this too.</p><p>7. The part where I felt I really needed more support was post-natal as the treatment on those wards is dreadful particularly if you're medically complicated. I got so sick of them taking too long getting my insulin the 2nd time round, I kept it with me in a frio pack. This was shortly after there'd been deaths in another hospital from someone injecting insulin into non-diabetics. Great procedure..... And let's not go into the hypo where I asked them to hold one of my crying babies as I was too shaky because I had low blood sugar and the HCA returned on medical advice with a blood pressure monitor because they didn't know the difference between blood sugar and blood pressure......</p></blockquote><p></p>
[QUOTE="tigger, post: 325598, member: 11023"] My 1st was an induction at 38+6 (I only discovered after that different hospitals have a range of dates they don't let type 1s go past from 38-40 weeks. My hospital said they'd let me go to 40 weeks second time as my control was good last time. The induction worked in that I went into labour but I found it incredibly painful, baby turned sideways and I stuck at 8cm. I had an emcs after 17 hrs and baby was fine apart from some low blood sugar and then jaundice a week later. Not great and it bothered me for a while but I wasn't too traumatised thanks to my amazing labour support/doula. This is a helpful thread on mumsnet relating to experiences around birth that you might find useful. [url]http://www.mumsnet.com/Talk/childbirth/371630-calling-all-diabetics-or-anyone-need-to-compare-notes-for[/url] I had tried to psyche myself up with lots of positive stories but in the end it just didn't work. The next pg I miscarried. I then only managed to get pg 2 years later and after being told I could go to 40 weeks if my control was as good as the last time. A week later at the 6 week scan we discovered there were 2 babies.... I then went through you must have an ELCS until 20 weeks when NHS policy changed and suddenly it switched to well VBAC is an option if no. 1 is head down to you will have a VBAC and we'll induce you which I was not happy about. I got them to book me an ELCS which they did with the proviso of VE first and breaking waters. I was planning on turning up refusing consent to the VE and going straight for the ELCS but was prepared to give VBAC a chance if it happened naturally. Anyway at 33+4 rather unexpectedly over breakfast my waters went and by the end of the day I'd assisted the hospital stats by managing a twin VBAC. So my advice would be: 1. Try alternate remedies to induce bearing in mind none worked for me! (sex, curries, pineapple, raspberry leaf tea, accupuncture etc) 2. Prepare yourself for either option mentally, don't get fixed on one. All that matters at the end of the day is a healthy mother and a healthy baby - both mentally and physically. So do all you can to prepare for a vb but keep in mind how you'd like a cs to go,visualise when you want to hold the baby, breastfeed if you're planning on doing it and prime your partner to advocate all of these things for you. 3. I found hypnotherapy helpful the 2nd time round so try out whatever methods you'd like for pain. 4. Get all the protocols of treatment clear with your consultant before it happens, e.g. at what stage they make you go on a drip, cfm, movement etc. See if you can negotiate a later induction with more monitoring closer to the date. 5. Be prepared to do what you want to do and ask for explanations if not given or fobbed off in medical speak. For example with my 1st they forced me to lie on the bed and not move as the trace kept on getting lost. With the twins I said I was standing and got the mw to rearrange wires around me. You get more forceful the 2nd time. 6. Don't expect them to know anything about diabetes so you/your partner will need to advocate for this too. 7. The part where I felt I really needed more support was post-natal as the treatment on those wards is dreadful particularly if you're medically complicated. I got so sick of them taking too long getting my insulin the 2nd time round, I kept it with me in a frio pack. This was shortly after there'd been deaths in another hospital from someone injecting insulin into non-diabetics. Great procedure..... And let's not go into the hypo where I asked them to hold one of my crying babies as I was too shaky because I had low blood sugar and the HCA returned on medical advice with a blood pressure monitor because they didn't know the difference between blood sugar and blood pressure...... [/QUOTE]
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