Gestational Diabetes: the baby's perspective

The Midwives' Cauldron

In this 2nd episode on gestational diabetes, we discuss the baby; what is hypoglycaemia, how does it affect babies, what are the signs, and how is it treated? We look at some of the evidence and latest guidelines for treatment of hypoglycaemia in the infant, as well as antenatal hand expression, what helps support a baby's glucose level after birth and the link between women with gestational diabetes and delayed onset of lactation (milk 'coming in' late) and its potential impact on future breastfeeding. And of course, how to get breastfeeding off to a good start. A jam-packed episode to complete our whirlwind tour of GD.

LINKS:

Our Patreon account https://www.patreon.com/themidwivescauldron
Dr Rachel Reed - Gestational Diabetes blog https://midwifethinking.com/2018/03/20/gestational-diabetes-beyond-the-label/
Hypo EXIT - Lower versus Traditional Treatment Threshold for Neonatal Hypoglycemia. https://www.nejm.org/doi/full/10.1056/NEJMoa1905593
ABM #1 Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Term and Late Preterm Neonates, Revised 2021 https://www.bfmed.org/assets/DOCUMENTS/PROTOCOLS/Protocol%20%231.pdf
Dextrose gel for neonatal hypoglycaemia (the Sugar Babies Study): a randomised, double-blind, placebo-controlled trial https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61645-1/fulltext

Advising women with diabetes in pregnancy to express breastmilk in late pregnancy (Diabetes and Antenatal Milk Expressing [DAME]): a multicentre, unblinded, randomised controlled trial https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31373-9/fulltext
Lily Ni

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