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Answer to your Health Question

Question:

I had been diagnosed of gestational diabetes by my 30th week of pregnancy and also was suggested bed rest and control through diet for my sugar and pain in lower abdomen area.

After 10 days the blood sample was tested for sugar again but has been everything in control till date.

As per ultrasound report the baby's head is correctly located under has a cord around its neck.

I also have a medical history of Mega Ureter Block which was operated for 4 yrs before.

The question I have in mind is whether I will have a normal delivery or a C-section and secondly chances of baby arrival before the due date.

I am almost on my 33rd week.

Answer:

Once your pregnancy has reached its 38th week, your doctor may want to deliver your baby to reduce the chance that the baby will be abnormally large (macrosomia).

At this point, your obstetrician may try to induce labor or perform a cesarean section (C-section) to deliver the baby.

Unless your fetus is not as developed as it should be, this delivery should not harm it. If allowed to become too large, it may be too difficult to deliver your fetus safely.

Periodic ultrasounds measurements help determine the size of the fetus and the need for early delivery.

However, since treatment of gestational diabetes is very successful in preventing large babies, many obstetricians will increase fetal monitoring rather than deliver early.

During labor and delivery, you and the baby are monitored closely. Monitoring includes:

-Your blood glucose levels, which will be tested at least every 12 hours. If your level rises too high, you may be given small amounts of insulin through a vein (intravenous, or IV). If your level drops too low, you may be given IV fluid that contains glucose.

-The fetal heart rate, which provides an indication of how well the baby is tolerating the birth. Internal or external fetal heart monitoring may be used. If the baby is large or does not seem to be tolerating labor, surgery (cesarean section or C-section) may be needed to deliver the baby. However, most women with gestational diabetes are able to deliver their babies naturally.


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