I was the first person using an insulin pump to give birth at the hospital I went to, and so there were no real guidelines in place for it. 'Diabetic births' generally involved continuous insulin and glucose infusion to allow for fine tuning of blood glucose levels during birth. Important so that the baby's blood sugar levels would be stable, and less likely to be hypoglycaemic in the hours after the birth.
I mentioned to my endocrinologist early on that I wanted to stay on the pump during the birth, no matter what type of birth it ended up being. He was happy to support me but confided that he would feel more confident with being able to control my sugar levels if I was on an IV infusion.
So in many ways I had to take control of the situation myself and remember really wishing there were some published guidelines I could refer my health professionals to.Posted by patton at March 03, 2004 09:00 AM