Some women face health problems like high blood pressure and diabetes during pregnancy.
Doctors say this can even put the baby and mother at risk for problems during the pregnancy.
Gynecologists attribute this to the maturity of age and the drastic change in people’s lifestyles, and if not treated in time, both the mother and the child will be at risk.
Pregnancy-related diabetes and high blood pressure may have long-lasting implications for health.
Senior gynecologist Dr. Jageshwar Gautam talks about the problems faced by pregnant women with Khabarhub’s Bina Neupane. Excerpts:
Why does sugar appear to the mother when the baby is in the womb?
There are two types of diabetes – Type 1 and Type 2 — during pregnancy. Diabetes is not seen before conception and after.
Blood sugar that is not well controlled in a pregnant woman with Type 1 or Type 2 diabetes could lead to problems for the woman and the baby:
High blood sugar around the time of conception increases babies’ risk of birth defects such as stillbirths, or preterm birth.
That is diabetes mellitus. Sugar is normal before the next pregnancy and increases later, we call it GDM or Gestational Diabetes Mellitus, which is a condition in which a hormone made by the placenta prevents the body from using insulin effectively.
A hormone called insulin that digests sugar, a hormone that acts opposite to insulin, is produced abundantly by berries during pregnancy.
So sugar appears. Most normalize around 6 weeks after delivery and some persist beyond. Some people also have diabetes mellitus.
If a pregnant woman has diabetes in her parents, it will not show up during pregnancy but will show up later. However, it is normal if it does not increase at other times and only during pregnancy.
If a woman gets diabetes while giving birth to the first child, can she give birth to a second child?
She can give birth to a second child. But treatment is required, meaning diabetes should be treated.
If diabetes occurs during pregnancy, we reduce it by giving insulin and do not give other drugs.
Because when we check the blood it is fine and at other times if it is elevated it affects the baby. And when the baby grows up, he/she may have hypothermia.
There is fear that the baby may even be “born still” before the month of the delivery date, or even die in the womb. So it should be well controlled.
What kind of food is appropriate to eat?
A normal person who has diabetic should eat an 1800-calorie diet and during pregnancy, she must eat 500 to 700 calories more food than usual times.
Depending on the patient’s weight, the diet also varies. One should eat more during pregnancy than at other times as babies, too, need nutrients.
If health deteriorates during the birth of the first child, will it not be more of a problem after the birth of the second child?
There can be risks. A child can have problems but he/she needs to be cared for more than at other times.
If a mother has diabetes, it can also go to the child. This is GDM diabetes. It goes from mother to child if a daughter is born. And the case is different if a son is born.
Infection of the uterus may also occur. If a child is big, the child needs to be taken care of a lot. Blood may be too thick.
Organs do not develop properly in babies born to mothers with diabetes.
If you get diabetes when you have your first child, how likely is it to recover later?
Records have shown that 96 percent of babies can be normal.
Gestational diabetes that occurs during pregnancy also resolves on its own later.
If the amount of blood is high, we will check the ETT. After that, gestational diabetes has been found 6 times and if diabetes is not controlled even after 6 weeks, we also advise using non-hormonal family planning.
Gestational diabetes may occur if the baby is repeatedly malnourished. So I would suggest women check their sugar and diabetes regularly.
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