DIABETES IN PREGNANCY

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DIABETES IN PREGNANCY

Posted By gyna_blog

February 12, 2019

Diabetes during pregnancy commonly known as gestational diabetes is now a common issue faced by pregnant women. After delivery gestational diabetes usually goes away. During pregnancy, placenta produces hormones that build up glucose.And the pancreas will produce insulin to handle it. If it doesn’t happen the blood sugar level will rise and it will result in gestational diabetes. This usually happens during the second trimester. Diabetes is a metabolic disorder.The way your body use digested food determines our chances to develop diabetes.There are three types of diabetes. Type 1, type 2  and gestational diabetes.Gestational diabetes can be controlled by medicines, exercises and modifying food habits. There are several complications that can happen in a diabetic pregnancy. They are

1.  Needing to induce labor 

   In a pregnancy that is progressing normally does not need any induction to trigger labor. Oxytocin is the hormone that helps trigger labor and contraction. This prepares cervix to get thinned and make it ready for labor. Almost still birth and to prevent baby from growing too big for vaginal birth. The world health organisation recommends that labor should not be induced before 41 weeks if diabetes is the only medical reason.

2. Need of c section

 In a pregnancy which is affected by gestational diabetes a c section may be prescribed by your medical care provider . This is because there are chances for your baby to get stuck in the pelvis as the baby will be too big for vaginal birth. Shoulder Dystocia isa medical condition where baby’s shoulder get stuck inside the pelvic outlet.And this is the major fear of doctors who prescribes a c-section . Death of the featus can happen due to shoulder dystocia but it is very rare.

 3. Large baby

 A baby who weighs more than 90%of the weight of normal babies of the same gestational age is considered as a large baby. A large baby can be born of so many reason like if the parents are large or if the mother is obese or diabetic. But the main reason why the baby is too large for vaginal birth is gestational diabetes.

4.  Neonatal hypoglycaemia

 neonatal hypoglycaemia can be transient or persistent. The causes of transient neonatal hypoglycaemia are inadequate glycogen, immature enzyme function and transient hyperinsulinism. Deficiency of glycogen is very common among preterm babies and babies born in very low birth weight. In such babies hypoglycaemia can develop especially when the nutrition intake is very poor or there are very long intervals between the feeding sessions. Hyperinsulinism among new born babies of diabetic mothers is very common . When a mother has diabetes  her baby is exposed to increased sugar level because of the increased glucose level in the blood. When the umbilical cord is cut the baby cease to getting exposed to increased sugar level but the body of new born still produces insulin as before. It will take days to decrease insulin production. Reason for persistent neonatal hypoglycaemia is hyperinsulinism, defective growth hormone release etc.
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