Pre-pregnancy Diabetes and Risks involved with Early Induction

Induction of Labor (IOL) is done to stimulate labor for vaginal birth, before labor starts naturally. There are many reasons why labor may be induced, including but not limited to high blood pressure and gestational diabetes (Mayo Clinic). There are risks involved with IOL, and about 25% of inductions fail which results in a caesarean section.  

 

Pre-pregnancy type 1 or type 2 diabetes mellitus (PDM) comes with its own risks for both mother and baby during pregnancy. Currently, IOL is endorsed for patients with PDM who are 38-40 weeks gestation to prevent stillbirth and complications with a macrosomic infant (Brown et al, 2019). In a recent study, Brown and colleagues compared PDM patients who were induced at 38 weeks compared to those who were not induced and gave birth 39 weeks gestation and beyond.  

 

They discovered two key pieces of information using data from over 2000 woman in Ontario. “In pregnant women with PDM, IOL at 380/7–386/7 weeks was not associated with a higher risk of cesarean delivery, compared with expectant management, but was associated with a higher risk of certain adverse neonatal outcomes (Brown et al, 2019).” Adverse neonatal outcomes included increased NICU admissions, jaundice, and hypoglycemia.  

 

It can be argued that based on this study alone, IOL should not be the endorsed with patients with PDM, however there are many other factors that must be considered. It is important that the medical provider understands all the risks involved.  

 

If your baby sustained a birth injury as a result of an unnecessary medical procedure or mis-managed induction, you may be entitled to compensation. Contact Holton Law Firm to schedule a free analysis of your potential birth injury case. 

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