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Steroids for a 38 weeker?! Rss

They do not give steroids to women with GD because it raises the blood sugar levels really high and can cause Hyperglycemia.
minibee wrote:
They do not give steroids to women with GD because it raises the blood sugar levels really high and can cause Hyperglycemia.


They do actually, but you have to be in hospital and be monitored closely.
I had to have the steroids with ds2 because I had pre eclampsia and GD and he was born at 34+1 but went into early labour at 33 weeks.
My ob told me they have to do the steroids between 32-34 weeks otherwise after 34wks there is no benefit.
I have insulin dependant GD and have been told quite recently that I will be starting steroid injections in 2 weeks (32weeks) to help mature bubs lungs as they will be inducing me at 38weeks .. Due to the high risk I have numerous OB's and specialists and they have all said the same thing and that it won't cause any harm to bub or myself its a precautionary measure in case bubs not ready, I trust their judgement as this is their profession .. Protocols could be different between NZ & Aust in regards to the treatment of steroids in GD patients
minibee wrote:
They do not give steroids to women with GD because it raises the blood sugar levels really high and can cause Hyperglycemia.


They do, especially if the baby is likely to be born premature. GD causes slower lung development as the bub produces less lung fluid. I'm not saying you should agree to the steroids, I'm just encouraging you to question the ob as to why they want to as there may be a good reason for it. Or it may just be that they are concerned that baby is not quite ready - yes 38 weeks is full term but there is a difference between a baby that chooses to come at 38 weeks and one that is sectioned out. And many obs won't do an elective c section before 39 weeks due to lung development. Just go and ask the questions and based on those answers make your decision




Follow my blog "Bed Rest for Baby" at http://www.babysteps1804.wordpress.com

Ok, I should have clarified. With regard to my comment above, we are talking about 38 weekers. It is quite normal and safe to give them up until 34 weeks. The OB told me they do not give steroids to babies that late in the pregnancy with mothers with GD because of the reason I stated.
I assumed my comment would be taken in context smile
minibee wrote:
Ok, I should have clarified. We are talking about 38 weekers. It is quite normal and safe to give them up until 34 weeks.
I assumed my comment would be taken in context smile


Oh I knew what you meant. All I was getting at is that while for a normal baby/pregnancy 38 weeks is full term and the lungs should be fully developed, GD can slow down lung development as well as other medical conditions can slow down lung development, so in these circumstances babies that are going to be born via c section might be given the steroids as a precautionary measure because a) they are missing out on 2 weeks of gestation and b) they are not getting a choice about when to be born and therefore may not quite be ready

To be honest I have not heard of anyone going for an elective section in the later stages of pregnancy being given steroids, I was just suggesting reasons that they might have requested it




Follow my blog "Bed Rest for Baby" at http://www.babysteps1804.wordpress.com

I understand where you are coming from. I do not know about the other conditions you mentioned (pre-e etc..) with regards to whether they would give steroids for that. I just know the OB specifically mentioned they don't give them if there is GD that late in the pregnancy because of the blood sugar issue. I guess different doc may do different things, some may give them, some may not.
For all of the ladies that mentioned getting steroids up until week 34, that is a different 'kettle of fish'. There is no doubt that at that stage, the benefits outweigh the risks.
I'm just confused as to why the need for them after 34 weeks as it seems contraindicative and there could even be long term effects from it. A bit scary since they have made it the new 'protocol'.
I guess it's one of those things that each woman has to research and decide for herself, as with most things in pregnancy/childbirth. I am not one to blindly follow whatever a doc says though unless I feel confident in the reasons I am given.
minibee wrote:
I understand where you are coming from. I do not know about the other conditions you mentioned (pre-e etc..) with regards to whether they would give steroids for that. I just know the OB specifically mentioned they don't give them if there is GD that late in the pregnancy because of the blood sugar issue. I guess different doc may do different things, some may give them, some may not.


Yeah I like I said I have never personally met anyone who has been given them that late in pregnancy for anything, probably because a lot of those conditions result in prem birth anyway. I'd just be interested to pick your obs brain about the exact reasons to give them at this stage




Follow my blog "Bed Rest for Baby" at http://www.babysteps1804.wordpress.com

Yeah. To be honest I doubt I'll get a chance to ask further questions to the OB about it. I see a different OB everytime I have a hospital appointment (my usual care is under a midwife) and I'm having baby in less than 3 weeks, I don't have anymore hospital appointments booked between now and then. As i mentioned, when I did question the OB, she said that it is to lower the risk of the baby needing to go to the NICU and then she went on to talk about the fluid thing. So you can understand why I am confused as to the reason.
Also, because it is a new protocol, it is hard to find other mums or people who have knowlege or first hand experience on the topic.
Anyway, thanks for the responses ladies, very interesting stuff.
I am also having my baby by C Section at 38 + 3 due to placenta previa. My doctor gave me the first steroid shot yesterday and I'm having another one today. My first was born naturally at 38 + 4 and was perfect so I asked my obstetrician why he recommended the shots this time. He said bringing a baby out by C section is different to it coming when it's ready so better to be cautious as not all bubs ready to come out on C section day. My baby is measuring 2 weeks ahead so he was not concerned about it but wanted to do it as a precautionary measure to ensure baby does not have any breathing issues. He said it's not harmful to me or Bub at all so I was more than comfortable doing it.
Sorry just realised this is a super old thread!
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