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Effects of Gestational Diabetes



The effects of gestational diabetes on the baby start at late pregnancy; around the second half of pregnancy when the baby's body has been formed. This is quite unlike babies of already known diabetic mothers. Therefore, birth defects as seen in the babies of known uncontrolled diabetic mothers are very rare in babies of mothers with gestational diabetes. However, the baby can have the following problems:
Macrosomia (Big baby):
If gestational diabetes is left untreated or poorly controlled, the baby may be faced with sugar challenges. Usually, because of insulin resistance in the mother's blood. The mother's blood sugar (glucose) remains high. This high level of glucose also passes from the mother to the baby through the placenta.
In this state of high blood sugar in the baby's blood, the baby's pancreas (the organ that produces insulin) gets stimulate to increase production of insulin in order to drive excess sugar from the blood into the cells. When this happens, the baby gets more energy than it needs to grow and develop; the extra glucose is then converted and stored as fat. This accounts for the high percentage of babies with birth greater than 4kg i.e. Macrosomia (big baby).
Birth Defects:




This means developmental (structural) abnormality which is seen in some children after birth. Birth defects are common amongst babies whose mothers were already known diabetics before pregnancy. Such defects usually occur during the first three months of pregnancy (period of structural development of babies in the womb). This explains why such birth defects are uncommon with gestational diabetes which start after three months of pregnancy, when the structural development of the baby might have been completed. Some of the birth defects include neutral tube defects, spinal bifida etc.
Caesarean Section (C/S):
Big baby is one of the relative indications for Caesarean Section. This is because most big babies might not be able to pass through the birth canal of their mothers, leading to prolonged or obstructed labor which is an indication for emergency Caesarean Section. Therefore, to think less of having Caesarean Section at birth, one must think more of what would reduce the weight of one's baby, especially if that is your first pregnancy.
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