Jan 21, 2013
4
0
Status
A pregnancy with well controlled GD, normal baby weight, and no other abnormality, do you consider induction early or continue to watch it until week 42?
 

Global Disrobal

Along for the ride
Moderator
Moderator Emeritus
10+ Year Member
15+ Year Member
Sep 24, 2002
1,000
14
Texas
Status
Attending Physician
well controlled with diet or pharmacotherapy?
 
About the Ads

THP

Senior Member
15+ Year Member
Apr 3, 2005
1,048
156
Status
Attending Physician
Well controlled with pharmacotherapy.
Typically induction at 39 weeks but you have to individualize treatment with each patient.
 

anonperson

10+ Year Member
Jun 26, 2008
744
761
Status
Attending Physician
A pregnancy with well controlled GD, normal baby weight, and no other abnormality, do you consider induction early or continue to watch it until week 42?
Delivery by a patient's due date at the latest. Generally delivered at 39 weeks or so.

From what I understand, the stillbirth rate is increased after 40 weeks compared to the general population and although the absolute number may be low, the benefit does not justify the risk of this.
 

Geekchick921

Achievement Unlocked: MD
Moderator Emeritus
10+ Year Member
Nov 6, 2007
8,813
166
35
Status
Resident [Any Field]
Typically induction at 39 weeks but you have to individualize treatment with each patient.
Out of curiosity, what would your answer be if it was controlled with diet?
 

THP

Senior Member
15+ Year Member
Apr 3, 2005
1,048
156
Status
Attending Physician
Out of curiosity, what would your answer be if it was controlled with diet?
Well controlled on diet, I would wait for her to labor with induction sometime between 41 and 42 weeks like everyone else. A lot depends on cervical exam.
 
About the Ads