Gestational Diabetes: the baby's perspective
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 Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. Support the show Please support the show via Patreon or BuyMeACoffee MERCH here! Music Joseph McDade Like this podcast? Leave us a review here Want more from Katie and Rachel? Katie's website Rachel's website DisclaimerThe information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness. The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.