Susan:  At Marsha Walker's conference, she recommended expressing and 
storing colostrum to bring to the hospital to offset the possible 
complications (glucose issues, delayed milk supply) that you mentioned. 
Unless you are at risk for preterm labor, probably the way to go.  Good 
luck!

Carolyn Schindewolf, IBCLC
----- Original Message ----- 
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, January 02, 2008 5:38 PM
Subject: gestational diabetes: breastfeeding issues


> Hello all,
>
> I'm currently 32 weeks pregnant and was diagnosed with gestational 
> diabetes
> at 28 weeks.  I seem to have a mild case (if there is such a thing) 
> because
> I'm able to control my blood glucose with minor diet modifications mostly 
> at
> breakfast time.  I did not have GD with my first pregnancy and frankly am
> reeling a bit from this diagnosis because I don't feel like I fit the risk
> profile.  My weight gain has been about 17 pounds so far.  My  total 
> weight gain
> with my first pregnancy was 24 pounds.  I'm  delivering at a well-known 
> U.S.
> hospital with a midwife.
>
> My question is this...what do I need to be on guard about immediately
> following the birth of this baby?  I've searched through the LactNet 
> archives (and
> elsewhere) and here's what I've come up with:
>
> a) Baby's blood glucose may be low after birth prompting hospital staff to
> suggest supplementing with formula or sugar water.  I understand that 
> putting
> baby to the breast should be tried first, but when is  supplementation 
> really
> warranted?
>
> b) My milk may be delayed in coming in.  My 3-year old daughter 
> self-weaned
> 12 weeks into this pregnancy so I'm thinking that perhaps this would  be 
> less
> of an issue for me than say a first-time mom?
>
> c) My risk for future diabetes will be lower because I'm going to 
> breastfeed
> this child.
>
>
> I'm asking because I want to be prepared to rebut (or accept) advice  that
> hospital personnel might make.  Am I missing anything that might  be 
> thrown our
> way?  I greatly appreciate the collective wisdom of this  group.
>
> Thanks very much.
>
> Susan
>
>
>
>
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