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EPISODE · Jul 14, 2021 · 1H 1M

Gestational Diabetes: the baby's perspective

from The Midwives' Cauldron

In this 2nd episode on gestational diabetes, we discuss the baby; what is hypoglycaemia, how does it affect babies, what are the signs, and how is it treated? We look at some of the evidence and latest guidelines for treatment of hypoglycaemia in the infant, as well as antenatal hand expression, what helps support a baby's glucose level after birth and the link between women with gestational diabetes and delayed onset of lactation (milk 'coming in' late) and its potential impact on future breastfeeding. And of course, how to get breastfeeding off to a good start. A jam-packed episode to complete our whirlwind tour of GD. LINKS: Our Patreon account https://www.patreon.com/themidwivescauldron Dr Rachel Reed - Gestational Diabetes blog https://midwifethinking.com/2018/03/20/gestational-diabetes-beyond-the-label/ Hypo EXIT - Lower versus Traditional Treatment Threshold for Neonatal Hypoglycemia. https://www.nejm.org/doi/full/10.1056/NEJMoa1905593 ABM #1 Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Term and Late Preterm Neonates, Revised 2021 https://www.bfmed.org/assets/DOCUMENTS/PROTOCOLS/Protocol%20%231.pdf Dextrose gel for neonatal hypoglycaemia (the Sugar Babies Study): a randomised, double-blind, placebo-controlled trial https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61645-1/fulltext Advising women with diabetes in pregnancy to express breastmilk in late pregnancy (Diabetes and Antenatal Milk Expressing [DAME]): a multicentre, unblinded, randomised controlled trial https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31373-9/fulltext Lily Nichols- Real food for pregnancy Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs Click here if you would like to find out more about Decoding The Suck and advance your clinical skills in lactation and suck assessment. Support the show Resources & Support Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding. 👉 Download here ⭐Leave a Review Enjoying the podcast? Leave us a review and tell your friends! Want More from Katie and Rachel? – Katie’s website – Rachel’s website 🎶 Music by Joseph McDade Disclaimer The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns. The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

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In this 2nd episode on gestational diabetes, we discuss the baby; what is hypoglycaemia, how does it affect babies, what are the signs, and how is it treated? We look at some of the evidence and latest guidelines for treatment of hypoglycaemia in the infant, as well as antenatal hand expression, what helps support a baby's glucose level after birth and the link between women with gestational diabetes and delayed onset of lactation (milk 'coming in' late) and its potential impact on future bre...

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