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Answer to your Health Question

Question (06/22/2011):

Title: Chances of normal delivery in diabetic patient.

I am 33 years old with 30 weeks pregnancy.

My weight is 95 kg, height 5 feet and 2 inches.

My A1c result remained 6% throughout the pregnancy, now diabetes is controlled.

I delivered baby with c section three and half year ago.

I want to know if I can deliver my baby by vaginal birth.

What are chances of normal delivery and c section?

Zobia

Answer:

Dear Zobia,

Women with poorly controlled diabetes are more likely to have a large baby (weighing 10 lbs / 5 kg or more), which is medically known as macrosomia.

These babies are large because some of the extra sugar in the mother's blood passes through the placenta and the fetus.

When this happens, the fetus begins to produce extra insulin, which helps process the sugar and store it as fat.

The fat tends to accumulate around the shoulders and trunk, making a vaginal birth difficult and increases the risk of the baby being damaged during the procedure.


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