Well that’s just annoying. Apparently I have gestational diabetes.
The last 2 NHS scans showed a massive growth particularly on baby’s abdominal cavity measurement. They seemed to indicate that he’d grown from the 50th percentile a few weeks before to the 99th/100th percentile last week. So they insisted I go and get tested for gestational diabetes.
I also see a private doctor and I had 2 scans with him about the same distance apart. I had the private scan about a day after the second NHS scan (where baby had apparently grown hugely). He measured 5 times and couldn’t replicate the result. At the most, baby B was about 70-75th percentile and this was consistent with the previous scan (which the same doctor performed, unlike on the NHS where it’s different sonographers). He also said IVF babies are typically larger and he wasn’t worried.
The test for gestational diabetes is called the Glucose Tolerance Test. You go in early in the morning after fasting for 10 hours. You have a blood test, then drink a sugary drink, sit still for two hours and then have another blood test. Does that sound like something you would actually do in real life? Umm no.
Why am I bothered about this?
Well, I haven’t had any symptoms and I don’t feel unwell in myself. I feel pretty okay really. It may seem like a major U turn but I am really anti medicalising the birth more than necessary. And this seems like they were looking for some sort of reason just to give a diagnosis because I had the extra scans (which were for anxiety, not further diagnosis!).
The only reason they’re giving me this diagnosis is because they think my baby is measuring big. Everything I’ve read is that the measurements tend not to be very reliable, and that you need to have at least 3 scans performed by the same sonographer in order to be able to make a judgement, and there’s a huge margin for error.
I am annoyed because both NHS scans were done by different people and they weren’t really paying attention, and I could see with my own eyes they weren’t taking the same amount of care to measure accurately as the private doc was. And he did both the private scans (in fact he’s done three) and said the growth was completely consistent and he didn’t think I had GD.
What are the implications?
The main thing about GD that I’m worried about is that I will have to be induced early and possibly be pressured to have a caesarian etc. I know I previously wanted one, and this is probably the biggest U turn in the history of U turns, but now I’ve got my head around it, I really want to try and let things go naturally if possible – obviously pending any emergencies with the baby. (Ina May’s Guide to Childbirth has a lot to answer for!)
I really would rather not have an induction or medical intervention for the only reason that they believe the baby is big. (In so many cases they’ve turned out to be wrong, and anyway, human bodies are designed to give birth to babies, even if they’re big.) I also think that early induction increases the chance of other complications / interventions and having to give birth on the ward (which I really don’t want to do) rather than the birth centre. (My absolute worst case scenario would be induction, forceps and episiotomy, which is what I wanted to avoid when I wanted a caesarian…)
I get that everyone has different views on this and they’re entitled to them. I’m not saying anyone else should choose my way or that the way I want to give birth is right for everyone. I think women should be able to choose their manner of birth if at all possible and shouldn’t be pressured to have something they don’t want, unless the baby’s in immediate danger. Right now I feel like they’re just hitting me with a diagnosis without giving me any information and basing it on inconsistent information (eg Is he 100th percentile or 70th? That makes a difference.)
I have to wait for a call back from the hospital and for them to make me start monitoring my blood sugar and recommend changes to my diet, etc. This is pretty annoying as if there’s one thing guaranteed to make me cranky, it’s going on a diet. Anyway there’s the possibility I won’t need medication but can fix it with diet. I guess I’ll have to figure it out.
I’m mainly trying not to worry unduly until I find out what is going on. They wouldn’t even tell me my reading and apparently someone will be in touch in a few days to make an appointment to see the diabetes nurse, so I guess I’ll have to wait and see what they say.
It’s my baby shower this weekend! Squeal! I’m so excited, firstly because I’m going to see my BFF (who is organising it and who lives far away) and secondly because we are having Christmas dinner in our local pub (because I’m classy like that!). Local pub means I can bring Dog, who is the important guest of honour. (Aside: Everyone keeps saying, “How is Dog going to cope?” as if they think we’re suddenly going to stop caring about him or something. Not happening. He’s my first baby.) And I loooove Christmas. It’ll be my first Christmas dinner this year!
Actually not sure how I’ll cope being the centre of attention. I usually love it, but everything’s a bit weird with how I’ve been feeling about the pregnancy and bump, but I figure I just have to go with the flow and enjoy it. I’ll be 30 weeks. We decided not to do it in December as everyone gets booked up with actual Christmas stuff instead of pretend Christmas stuff! Unfortunately as things go, my mum and sister aren’t going to be able to make it. My mum is having an operation so will be in recovery this weekend. And my sister is starting her IVF cycle 2. I told her she didn’t have to come and I wouldn’t expect that. She seems okay and I’ve been encouraging her every step of the way. Fingers crossed!
T is away this weekend on his last (for a while) boys’ holiday – not the excitement that it probably sounds, but he has a friend who has some special needs and who he takes away sometimes so a couple of them are taking him to a hotel for the weekend. It just gives his friend some time where he can feel like he has a “normal” life. (The friend has some mobility and mental health issues so wouldn’t get away otherwise.) So I will have a girls’ / Dog weekend.
I ordered our pram! Of course this has invited a load of opinions from people about how their choice of pram was the better choice and blah blah blah, but honestly I am not that interested. Like why do people feel that their choice of baby stuff needs to be taken up by everyone else? It seems a bit weird that they’re so into that. I can’t wait for them to start having an opinion on breastfeeding, daycare and crying… *sarcasm*. My parents kindly gave us the money for the pram and car seat and a little bit more which meant I was also able to order a carrier (for T) and a sling (for me) which I’m a bit excited about too!
T is busy building B’s little wardrobe – he’s doing a bespoke construction out of metal and I’ve stayed out of it as he gets some funny ideas! We have a nice collection of little clothes now and I’m sure we will have a few more before the weekend’s out! Here is the raccoon outfit we got for B in Brussels… I can’t even.