36 Weeks Prego!!
I would love to chat about more pumpkin spice things but this week I’ve been grappling with my doctors and I feel the need to discuss it. Throughout my entire pregnancy, I’ve been told I would be induced early because of my type one diabetes. Most doctors settle on 38 weeks for women with type one diabetes because it is considered “full term” and studies have shown that going any further increases risks of placental failure and stillborn. While it feels nice to be able to plan ahead and know that the baby is out in the world and safe, something about early induction doesn’t sit well with me. If the baby wants to bake… let the baby bake!!
Once again, I am no expert. I just want to give my thoughts on the matter. Read my disclaimer!!!
Risks of Diabetic Pregnancy
If you google pregnancy and diabetes, you will be greeted with tons of resources that tell you just how easily you can mess up your baby. Maybe this is the nature of the internet, but it is not always based in fact. It is rare to find a resource that talks about healthy women, with good HBA1Cs and a history of compliance. There are plenty of women out there that have great control of their diabetes, but not many studies have been run on these women. It is easier to talk about the risks and horror stories. While I would prefer to talk about the best case scenarios as well, I think it is important to note that there are still risks for well controlled diabetic women, there is just less risk. From what I’ve been able to gather the potential risks for mama and baby include:
- Delivering a large baby, which comes with a slew of risks for mom and baby. The issue with the large baby argument is that many babies are large because of their genetics. If you have good control of your diabetes, it is luck of the draw!
- Placental failure or insufficiency
I understand our health care providers have reason to worry. There are so many studies that indicate high risk for women with diabetes. I also understand the need for increased monitoring with non stress tests and growth scans. But, I do not understand an early induction because of an antiquated risk. Until one of the above listed scenarios becomes an issue, an early induction is not medically necessary in my mind. There are also huge risks associated with early induction, and it seems those risks are swept under the rug in the medical community.
Risks of Early Induction
There are risks for mama and baby that go along with early induction. The last couple weeks of pregnancy are vital. THIS article does a great job of describing benefits that are achieved in the last couple weeks.
For a mom, especially a first time Mom, inductions can often lead to other interventions like breaking the water early to speed up the process and eventually c-sections. But, my worries stem from the issues that early inductions can cause for the little one. From what I have read, the concern with early inductions is that most women’s due dates are an estimate. If you are a week or two off on the due date, your child can have significantly less lung development, antibodies and brain function.
The tide seems to be shifting amongst OBGYNs on whether or not early inductions are necessary for most per-existing conditions. For instance, the American Congress of Obstetricians and Gynecologists states that diabetics that are well controlled should not be induced unless other medical issues are present SOURCE.
I am certainly pushing back against my doctors but it looks like my doctor will not go past 39 weeks. I know I should accept the additional week and consider the compromise a win but it just doesn’t feel right.