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.

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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.