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I am a diabetic and I was wondering if you would recommend a homebirth or even a Midwife in a hospital? | The Business of Being Born Message Board
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I am a diabetic and I was wondering if you would recommend a homebirth or even a Midwife in a hospital?

Q: I am a diabetic and I was wondering if you would recommend a homebirth or even a Midwife in a hospital?

A: It is not clear from your question what type of diabetes you have….is it gestational diabetes or did you have diabetes before becoming pregnant? Do you need insulin to treat your diabetes. There are CNMs who do births at home for women who have gestational diabetes if their blood sugars are well controlled and they do not require insulin. In my hospital based practice, I care for women with gestational diabetes; I comanage their care with my physician colleague and I am their provider at the time of their delivery if their blood sugars are well controlled. I think if you had diabetes prior to the pregnancy and require insulin your care would likely need to be in a CNM/physician collaboration. I encourage you to contact nurse-midwives in your area as they would be your best resource to find out what your local options are.

Deborah Frank, CNM
MidwivesWithWomen.com


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