Last week two births made me very happy.
I had blogged about one of the mother before. She was a type 1 Diabetic dependent on Insulin for more than 12 years now. I had blogged about my interview with her to-be-husband in 'Strange Interview' . Also I had posted about the first time she became pregnant in 'Happy News' and about her abortion in 'Sad News'. Now she has delivered a healthy baby. She recently came to me with her husband and the new born and we were all smiling.
Many type 1 Diabetics deliver normal healthy babies but still it is a difficult task. Perinatal mortality and still birth rates are 4 to 5 times of normal pregnancies. That is why we were smiling.
The other birth was the planned conception and delivery of a baby for an HIV positive couple.The couple were my patients for last 5 years.They had asked me the possibility of parenting a child before .Initially I did not encourage them because I did not knew how compliant they will be with the treatment.schedule. They were regular in their follow up and very compliant in taking medicines in time. When they asked me again after 3 years of Anti retro viral therapy I was more positive.I directed them to a suitable center for guidance. After a lot of counseling they were ready to accept the risks involved. They did everything as told and the mother delivered by cesarian section a healthy baby recently.
This proved that nothing is impossible for a 'positive' couple.
Read more about HIV and Pregnancy here
Showing posts with label Pregnancy in Type 1 Diabetes. Show all posts
Showing posts with label Pregnancy in Type 1 Diabetes. Show all posts
Wednesday, July 28, 2010
Monday, October 13, 2008
Sad News
The Type 1 Diabetic patient in 'Strange Interview' and 'Happy News' called me to tell that she had a spontaneous abortion.
Her recent blood sugars were between 80 and 220mg but her frequency of testing was only about once a day or once in 2 days.
Early foetal loss is most commonly due to congenital defects in foetus caused by high blood sugar during first few weeks.
For a diabetic woman who wants to be pregnant, keeping a very good control over her blood sugar is very important.The first 42 days after conception is the most important period, but in most cases the woman will be aware that she is pregnant only after a missed period, which is about 14 to 21 days after conception.
So planning the pregnancy in advance and keeping a tight control on blood sugar is absolutely essential.
The loss of that foetus was a personal failure for me too. I should raise the standard of my care of care of Diabetes in Pregnancies.
I had emphasised all these to her and I hope she will have a successful pregnancy next time.
Her recent blood sugars were between 80 and 220mg but her frequency of testing was only about once a day or once in 2 days.
Early foetal loss is most commonly due to congenital defects in foetus caused by high blood sugar during first few weeks.
For a diabetic woman who wants to be pregnant, keeping a very good control over her blood sugar is very important.The first 42 days after conception is the most important period, but in most cases the woman will be aware that she is pregnant only after a missed period, which is about 14 to 21 days after conception.
So planning the pregnancy in advance and keeping a tight control on blood sugar is absolutely essential.
The loss of that foetus was a personal failure for me too. I should raise the standard of my care of care of Diabetes in Pregnancies.
I had emphasised all these to her and I hope she will have a successful pregnancy next time.
Friday, September 5, 2008
Happy News
The type 1 Diabetic I mentioned in A Strange Interview married that guy.I was specially invited for that marriage. It was on a working day and I excused myself.Send a greetings instead. I had 2 reasons for not attending the marriage. The obvious reason is I was busy as all doctors are. The other reason which I thought is some thing entirely different.I am not sure it is correct. Going to a gathering where I am invited because I am the doc treating the bride's illness may highlight the fact of her illness among even those who do not know it. I did not want that.
The marriage was almost a year ago. 10 days ago she called saying her blood sugars are unusually high.I asked her to come and see me. There was nothing wrong on examination.Then I asked her about her menstrual periods. She is late by few days.As her periods were irregular how late she did not know. I asked for a Urine Pregnancy test. It was positive.Yes she was Pregnant. I was happy but also worried that from now onwards extra care have to be taken to ensure a normal pregnancy and delivery. Her HbA1c was 6.9, which is fairly good.I am hoping for an uneventful pregnancy.
The marriage was almost a year ago. 10 days ago she called saying her blood sugars are unusually high.I asked her to come and see me. There was nothing wrong on examination.Then I asked her about her menstrual periods. She is late by few days.As her periods were irregular how late she did not know. I asked for a Urine Pregnancy test. It was positive.Yes she was Pregnant. I was happy but also worried that from now onwards extra care have to be taken to ensure a normal pregnancy and delivery. Her HbA1c was 6.9, which is fairly good.I am hoping for an uneventful pregnancy.
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