I had my fifth visit to the doctor yesterday:
- Blood pressure was fine and urine test came out clear.
- Weight gain: 3kgs. Apparently still within accepted limits, albeit a tad on the high side.
- Baby appears a tad on the large side (which I expected) but not excessively so as to be a cause for alarm (overly large babies are suggestive of gestational diabetes).
Generally, if there is a family history of diabetes, there is an increased risk of developing gestational diabetes. The closer the link, the higher the risk – in other words, if one of your parents have diabetes, your risk is even higher. In my case, it is my grandfather who had diabetes so while there is a family history, the risk is apparently lower.
There are a couple of signs and symptoms you can look out for to determine the possibility of gestational diabetes – increased thirst and increased frequency of urination. I seem to have both although I do admit that my fluid consumption is a tad on the low side so I am not surprised to find myself often thirsty. Likewise, the need to pee can be related to the increased fluid consumption and changes in baby positioning (Gareth has discovered my bladder and has taken to using it as a punching bag).
I also spoke to Dr Wong about the fact that my discomfort-related symptoms due to my growing size are beginning earlier than they did with the previous pregnancy. Apparently, this is also the norm with second pregnancies. If I were to have a third pregnancy, I will feel these symptoms even earlier. Yes, I think I’m pretty convinced that we’ll be stopping at two.
Although the symptoms will develop earlier in the following pregnancy, there are some things you can do to help ease these symptoms. For starters, you can make sure you’re fit before getting pregnant. It doesn’t eliminate the problems altogether, but it will help. Unfortunately, exercise during pregnancy doesn’t help much. So I guess my attempts to start exercising now are coming too little, too late.
In light of H1N1, the MOH (Ministry of Health) has recommended that women with healthy pregnancies should be reduced to five-weekly appointments instead of the monthly appointments. Since pregnant women are under the higher risk category for H1N1, they felt it better to minimise their exposure to hospitals as much as possible. With my pregnancy progressing well, that means I won’t be seeing Dr Wong again for another five weeks.