These are easy to read and understand and are beautifully presented.
After doing some reading about the screening and chatting with my midwife,
I'm pretty sure I'm *not* going to do the test. I haven't yet discussed
my decision with my doctor (whom we're seeing in case our planned homebirth
doesn't go as planned), so I don't yet know what she'll say. She's pretty
non-interventionist herself (had all three of her children at home), but
when I protested about the sugar test, she immediately offered me a pretty
reasonable "carbo" diet as an alternative (rather than going into the possibility
of my not doing the test at all). I posted a similar question as yours
on the "attachment parenting" group (pgap), and was surprised more people
weren't turning down the test. What follows is the response I gave someone
on that group who wanted to know *why* I was not wanting to do it. This
may be helpful to you since my reasons are based on research, not on a
fear of needles. I would welcome any response from anyone since my mind
is not *entirely* made up!
The reasons I'm considering *not* doing the test are:
I don't like the idea of bombarding my body and baby with sugar (especially
after a fast!)...can't imagine it's good for either.
The fast alone not only sounds like a bad idea for the baby, but it can
often make women ill b/c low blood sugar can trigger nausea. Drinking Glucola
on an empty stomach may cause nausea, vomiting or fainting as well.
I don't understand why they'd test me on a sugar high when that's such
an unusual state given the healthy way I'm eating. (In addition, the better
a woman's nutrition, the less likely her body is to be accustomed to large
doses of straight sugar.)
The test is not reproducible at least 50-70% of the time.
From the research I've done, 30% of women fail the first test and have
to go on to do further testing (somewhat of an ordeal as I understand it),
even though only 2-3% are ultimately diagnosed with Gestational Diabetes,
resulting in less than 1% (.45%) of all pregnant women needing insulin.
(Incidentally, no clear improvement in perinatal mortality has been demonstrated
with insulin treatment for GD.)
While it is true that an abnormal glucose tolerance test (GTT) is associated
with a 2-3 -fold increase in large babies, the majority of large babies
are born to mothers with a normal GTT.
If the treatment for GD is following a healthy diet, why not just eat a
healthy diet to begin with (bearing in mind the specifics of watching carbo
If I test positive with their test(s), my pregnancy would officially be
considered "high risk," invoking an extensive program of tests and interventions
of unproven benefit *and* automatically dictating a series of interventionist
methods should I wind up birthing in a hospital.
This Web page is referenced from another page containing related information
about Gestational Diabetes