Join Date: Dec 2002
Location: NS, Canada
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Mama to DS (3/7/06), DSD (11/17/02), DD (1/16/08 ) , DS2 (5/30/10) and Baby Quinn (R.I.P 3/22/13)
Wife to Dh and homeschooling, mother to DD16 DS12 DS9 DS5 DS3. Due with 6th child in March 2014.
Ok, I know that a title like that in a forum like this is like throwing the sheep into the lion's den or something, but in my previous thread
I mentioned that maybe I could get my family doc to order the blood work instead of the OB clinic. Well I got the lab requisition. And he put extra stuff on it, I think, because the mw had only said Whole Blood Count. And I tried to talk the doc out of it, but he included a urine test for GD, as a screening. This includes fasting from 8 pm until after the test the next morning.
In fact, there are 3 tests other than the blood count on the sheet. Now, I've figured out it's easy enough to skip the urine test by "forgetting" to fast or simply refusing to pee in a cup ("Oh I just peed before coming and now I don't need to" if that's believable coming form a pregnant woman!)
Anyway, I'm confused about which tests to do, if any. I do want to get the blood count done, and I am still suffering from extreme tiredness, at 13.5 weeks. But then, it seems to me that could also be a sign of GD. Of course, I've also read that there's no point in treating GD, because it doesn't improve the outcomes for mom or baby, but I'm not sure about this anymore.
here is the list of tests:
Group and Screen
Rubella Antibody IGG (immune status)
Urinalysis, routine and microscopic
I don't know what all these even entail...
Does anyone here skip all tests? Do some of you pick and choose? How do you know what is necessary and what is extraneous?
You can get just an iron test and seems like you can skip the rest unless you feel like you need something in there. Personally I think the fasting urine test to check blood sugar is a set-up test for more interventions (and chart markers like "GD") and I would avoid it unless you are not feeling well. I use a glucometer by myself if I'm worried... but my sugars have usually looked nothing but stellar, so I avoid those tests like the plague. I have too many doula clients that have to jump through MAJOR hoops b/c they have numbers 4 points above the cut-off or something. Bleh.
And yes, the urine test can be done with the strip, no reason to go mega-high-tech.
All of this of course is just my opinion...
If you are afraid they will do a test you don't want you can always put your things into writing:
"I (fill in your name) give my consent to the following lab tests but not to any further testing that is not outlined below. If you have any questions, feel free to contact me" and then list your stuff. Keep a signed copy and ask that they put the other signed copy in your chart.
Did he say why he was checking your rubella immunity?????
that seems ridiculous.
SweetSadie, have you got links saying that sugars in the urine are not a risk factor for GD, btw? Standard practice over here is to go for a 1hour GTT after three urine samples spilling sugars, so I'm curious.
I always thought that Rh factor was something that was a constant, like your blood type? I thought it was a subset of the blood type.
Mum to DS (8yrs), DD (6yrs), and DS(3.5yrs).
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