I know I have posted a similar post a few months ago, but as I get closer to my due date I was wondering if there are any new opinions/advice on the following:
I have type 1 and am on an insulin pump and CGM. I plan to have a natural birth (in a hospital), and want to prevent being hooked up to machines at ALL costs. The main reason for this is to be able to be mobile throughout labor in order to use walking, my birth ball, etc for pain management and to help move my labor along.
I feel VERY strongly about keeping my insulin pump on to avoid getting an insulin/glucose drip via an IV, as this will greatly reduce my mobility. Another reason for wanting to keep my pump on is that I have SO much more trust in myself and my OWN management of my disease than the nurses in a hospital, no matter how ‘specialized’ my OB insists they are. My Endo has said he ‘recommends’ the insulin/glucose drip, but I am certain that he is not used to diabetics wanting a natural childbirth. My husband is also very involved in my diabetes management, and can help monitor my blood sugars and knows how to set temporary basal rates, treat lows, bolus for highs, etc.
I would LOVE any advice/advice/input on any or all of the following questions:
Does anyone have experience wearing and insulin pump during labor and childbirth? If so I am curious to know how much were your insulin needs decreased due to the intensity of the labor, and how was the process of managing the lows? I know they say ‘no eating’ once you are admitted and in labor, but do glucose tablets count? Did you come prepared with a letter from your doctor stating that you could keep your pump on? How did the nurses and doctors at the hospital react? How were you able to convince your OB and/or Endo to get on board with you wanting to wear your pump instead of having an IV?
Thanks in advance