I am 28 weeks (due July 18 2011), and have luckily made it through the pregnancy with zero complications so far . My A1C is currently 5.7 (will get newest results at my endo’s office on Friday). I have asked my OB about induction, and she told me that typically a diabetic’s placenta will begin to break down towards the end of pregnancy, so if I haven’t delivered or gone into labor by 39 weeks, she plans to induce. I let her know that I want to do everything as naturally as possible, and that as long as there are no complications that pose a risk to myself or the baby I do not want to be induced. I am very confused and have SO many questions about induction/labor/delivery…
Is she just going on what 'typically happens in a diabetic’s pregnancy or can my OB tell the condition of the placenta on an ultrasound or other specific tests to reveal this? Do any specific diabetes complications lead to a quicker ‘breaking down/deterioration’ of the placenta?
How does induction actually occur? Is the water broken or are drugs typically used? Are there any ‘natural’ ways of induction? I have read that being induced leads to a higher risk of having an epidural, which I do not want to have…and once you are induced, do you have to remain at the hospital? I wish to remain at home for as long as possible prior to delivery, as research has indicated that this as well will lead to a smaller chance of use of an epidural.
Have any of you used a birth doula? Have they seemed open to and/or knowledgeable about your diabetes?
What experiences/advice/information can anyone share about wearing your insulin pump and being in control of your own diabetes management during labor and delivery?
Is breastfeeding any different for diabetics immediately after birth? I have heard that it can take a while (how long???) for the milk start flowing, which I am confused about. I REALLY do not want to have to use formula and am curious how long the baby can go without breastfeeding and how long until I am able to feed him.
Sorry for such a long post, just wanted to throw it out there so I can get some advice before talking to my OB (I have a visit on Wednesday). Does anyone have any advice on specific questions I should ask her during my office visit/ultrasound now that I am in the third trimester??