For most women, motherhood is the most cherished desire. Only nature is not always supportive and presents a surprise in the form of a diagnosis of diabetes. Before the disease, both men and women are in the same conditions. But before the beautiful half in addition, the question arises whether it is possible to give birth with diabetes? Are there any chances to realize oneself not only as a person, but also as a mother?
The essence of the problem
For the birth of a healthy baby, the expectant mother should have a strong body. Diabetes excludes such a condition - glucose absorption and its conversion into energy for the cells of the body is impaired in a girl or woman. And the development of the ovum requires this energy and nutrition, which are transported through the umbilical cord.
- The load on the female body increases and can lead to complications in the kidneys, in the vascular system, and in heart failure.
- Excess sugar in the blood of the mother can be transmitted to the fetus, causing him problems in the development of the pancreas and the release of the required amount of insulin.
- In a pregnant woman, hypoglycemic coma may occur due to the failure of the diet or incorrect insulin dosage.
- If the pregnancy develops without the participation of specialists, there is a risk of fetal death in the early stages.
- In the future mother with a diagnosis of diabetes, if the recommendations of the doctors are not followed, the fetus can reach a large body weight, which will complicate the birth process of the baby.
- Infectious diseases are very dangerous for a pregnant woman with diabetes. If flu vaccinations during pregnancy are provided for a healthy mother, such a vaccine is contraindicated for diabetics. It is necessary to carefully monitor hygiene and avoid contact with patients.
- Births with type 1 diabetes are prescribed earlier. The optimal period of 38-39 weeks. If this does not occur naturally, the contractions stimulate or plan a cesarean.
Risks during pregnancy in women with diabetes mellitus arise for both the fetus and mother. Until recently, gynecologists were opposed to type 1 and type 2 diabetics maintaining a pregnancy, if any.
Modern medicine has ceased to be so categorical as to whether it is possible to give birth with diabetes.
Does the form of diabetes affect the ability to give birth to a baby?
The child-bearing age of a woman is difficult to drive in some time frame. Some couples become parents after 40 years and later. Therefore, the expectant mother can have both insulin-dependent (1 type congenital or acquired) and type 2 diabetes. Accordingly, problems with carrying a fetus may be different.
If there is a certain treatment regimen with the first type of the disease and the expectant mother can inform the doctor in advance about the problem in order to plan the pregnancy, the woman may not even be aware of the presence of type 2 diabetes. The diagnosis is detected during an already developing pregnancy. In such a situation, miscarriage or missed abortion is possible.
To exclude such a scenario, a woman of childbearing age should approach the pregnancy responsibly and undergo a preliminary examination prior to conception.
Many married couples are faced with the choice to give birth to a baby on their own or to resort to alternative methods because they fear that the child will inherit diabetes and will be doomed from birth to a struggle for health. Studies conducted by geneticists, gynecologists and endocrinologists, exclude one hundred percent probability:
- If only a man is sick with diabetes, the probability of a congenital disease occurs only in 5% of 100;
- If diabetes is diagnosed in a woman, only 2% of the crumbs are at risk of inheriting this ailment;
- A higher rate (25%) of the birth of a child with diabetes occurs in a couple where both partners have problems with blood glucose.
To exclude the possibility of falling into this small percentage, it is worth thinking about planning a pregnancy in advance.
In obstetric practice, an algorithm has been developed for actions from the moment of conception to giving birth and accompanying mom with the baby in the postpartum period.
The question posed at the beginning of the article can be rephrased into the statement that it is possible to give birth in case of diabetes.
Temporary diabetes in pregnant women
In addition to the well-known forms of sweet disease 1 and 2, the concept of "gestational diabetes" is found in medicine.
It occurs in completely healthy women who, before pregnancy, did not have abnormalities in the blood glucose test.
For a period of 20 weeks, maternal insulin may be blocked by hormones that are produced by the placenta for intrauterine development of the fetus. The cells of a woman lose insulin sensitivity, glucose is not fully absorbed and excess sugar is formed in the mother’s blood.
Such a phenomenon occurs only in 5% of pregnant women who are completely healthy at the time of conception. The diagnosis does not remain constant. After childbirth, cell sensitivity to insulin is restored, and glucose levels return to normal.
If gestational diabetes is detected in a pregnant woman:
- A gynecologist prescribes a special therapy;
- An endocrinologist joins in monitoring the patient;
- Additional blood and urine tests are prescribed;
- Developed a diet aimed at leveling glucose levels;
- Fetal weight is monitored, because excess glucose in the mother can lead to fat formation in the fetus and threaten the baby with obesity or intrauterine hypoglycemic coma;
- If you maintain indicators of gestational diabetes, childbirth is possible for a period of 37-38 weeks. If the weight of the fetus exceeds the weight of 4 kg, a caesarean section is indicated for the pregnant woman.
Women who experience gestational diabetes are at risk of recurring during a subsequent pregnancy. This can lead to normal diabetes for life.
Pregnancy should not be spontaneous
To avoid complications during pregnancy in women with diabetes, the couple should take the issue seriously. First you need a consultation with an endocrinologist or a therapist who keeps a history of the diabetic and knows all the circumstances.
At this stage, the risks should be assessed, primarily for the expectant mother.
Pregnancy complicated by diabetes mellitus is quite difficult and it is possible that a woman will have to spend most of the time in a hospital ward.
Conducting pregnancy and childbirth in diabetes mellitus is very different from the usual practice in healthy women:
- Not only a gynecologist takes part in the process, but also an endocrinologist, a therapist, a nutritionist, a nephrologist.
- A pregnant woman is more likely to undergo inpatient examination to correct the necessary therapy. Routine hospitalization is prescribed in the first weeks of fertilization, 20, 24, 32 weeks of pregnancy. If complications arise, the number of hospitalizations may be more.
- In insulin-dependent diabetes, the dosage is prescribed individually for monitoring the general condition of the future mother and fetus.
- A woman needs to carefully follow the diet, lead an active lifestyle.
- Births for any type of diabetes usually pass naturally and are planned by the attending physician. Caesarean section is provided only with a large fetus weight (from 4000 grams) or manifestation of preeclampsia in the later periods.
- After giving birth, both the mother and the baby monitor the general condition of the blood test.
In the conditions of modern medicine for couples in which the spouse is sick with diabetes, the opportunity to be happy parents appeared. But the responsibility for making an important decision remains on the shoulders of a woman. Risks remain in any case. You need to have a strong spirit and find experienced doctors who will help in solving problems that arise.