I was diagnosed with Type 2 Diabetes in January and conceived in April just after getting my blood sugar under control (after it being at near-comatose levels). I had my first child in 2000 and she was 9lbs 14oz and I carried her a month over her due date. I was young and now looking back on things I realize that the doctors and nurses did not take the time to give me options that they should have, nor did they keep adequate monitoring of my baby as she grew so we would know (a) that the due date they first gave me was wrong (everyone went by implantation date instead of actual last menstrual date) and (b) she was so large. Her size shocked everyone involved and I had a very difficult labor and delivery. Combine that with the fact that my spine is not straight enough to allow an epidural to be effective and the fact that they gave me Pitocin at just about five hours after the start of labor (they decided labor wasn't proceeding fast enough), as well as the fact that I hemorrhaged after giving birth to my daughter due to the uterus no longer contracting (enough so that they had to give me 4pts of blood before I left the hospital)...and you have a very difficult and traumatic first labor experience.
Bottom line, after telling my OB all of this, she informed me that they would rather induce labor and not let the pregnancy go beyond 40 weeks. She said that she's concerned about placenta viability and the size of the baby. So far, his growth is normal, but that can apparently change (what, with my having an ability to create larger babies anyway and that having been prior to being diabetic).
My question is this: With being now 31 and now diabetic, is induction really necessary? I would prefer to have as natural a birth as possible (including no pain meds and would rather not induce), so I would like to avoid induction if possible. Is it outlandish to ask my OB to NOT induce? Or is this a sufficiently high-risk pregnancy that I have to go ahead with the induction process?
I should add that my blood sugar is being nicely monitored and kept at correct levels via use of insulin, and my diabetes doctor and nurse are VERY happy with my ability to keep it under control and at my health status. They're very pleased that I'm doing so well! So, this isn't a case where things are out of control or crazy...it's going very very well.
Thank you so much for letting me know!