Has anyone declined the glucose test? - Page 2 - Mothering Forums
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#31 of 43 Old 01-01-2007, 03:51 PM
 
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Originally Posted by Nicole77 View Post
That would make me seriously angry. And I would really be led to wonder about the non-interventionist nature of my midwives. It is one thing to do the research and come to your own conclusion that you would prefer to have the test, entirely another to be forced into it by midwives, women who should have an inherent belief in the normalcy of pregnancy and delivery.
Well, ultimately I could NOT do it . . . .in other words, how would they know whether or not I was pricking my finger?

I am giving birth in a hospital (as I have done in the past) and I imagine that there is an inherent difference between HB MWs and hospital MWs. Since giving birth at home is not an option for me, I have to pick my battles. . . and my strategy is to labor at home and give birth in the hospital. That way interventions aren't even an option, for the most part. That's what I did last time and it worked really well. Hopefully it will be true again.

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#32 of 43 Old 01-01-2007, 04:16 PM - Thread Starter
 
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I also had to pay out of pocket (we have insurance, but have not met our deductible). In the long run, I am glad I did it just to be sure.
Mama, can you tell me how much it cost???

I am not opposed to doing it "just to be sure", as long as it's not extremely expensive. I did turn in my application for state insurance but of course have not heard back yet. Lucky for me my doc's appts keep getting cancelled because he's in surgery (is that a sign?), so I haven't been to the office since October and no one has brought up the test, but I am anticipating they will when I go in next time... Don't get me wrong, I love my OB, I just don't really want to take this test.

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#33 of 43 Old 01-01-2007, 04:38 PM
 
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My HB MW used to work at a hospital where all she did was check poeple for the glucose tests, help the ones with GD figure out how to eat right, prick fingers, etc. And she's now the one to tell me that unless you think you have strong reasons to believe that you might have diabetes to just decline the test, as she thinks that even with all the upkeeping of the GD problem, it might not really make that much of a difference to warrant all the stress. So, she advised me to decline, yay. I'm supposed to take it tomorrow, but now will not.
She said she puts her clients on a very healthy diet anyway. Once she tells me her eating secrets on Friday at our meeting, I'll try to post a thread with it in health/healing, ok?

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#34 of 43 Old 01-01-2007, 05:01 PM
 
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Mama, can you tell me how much it cost???
I wish I could . ..haven't gotten the bill yet. Call the lab and they will tell you!

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#35 of 43 Old 01-01-2007, 10:56 PM
 
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I have declined it for my other two pregnancies and will again for this one. One of my back up midwives was pushing me hard to get it done (I do have several risk factors) but after doing a bit of research and finding this article by Henci Goer I have decided against it.

I have my next mw appt on Wednesday and I am bringing in a copy of the article.

Steph

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#36 of 43 Old 01-01-2007, 11:43 PM
 
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I did this test at my last visit. I wanted to decline, but DH is in medicine, and I do many "compliant patient" compromises for his benefit.(I still manage to get labeled as difficult-no problem!)
But otherwise, I would have absolutely refused. I think there is way too much checking that goes on in general in medicine, and I think this test is definitely the potential fast-track to the cutting table!
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#37 of 43 Old 01-02-2007, 06:49 PM
 
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I declined it, but then got the political discussion from the MW. "If you have to transfer, we can't prove blah blah blah". So to compromise, I'll be doing my fasting sugars for seven days before my next appointment, with three days doing a two-hour post meal reading. Apparently having that week of documentation in my chart will be enough to at least say that I don't have GD... if we have to go to a hospital... if it's not an emergency section... if if if...

This thread has been pretty informational, especially since I didn't even know what the "normal" numbers should be.

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#38 of 43 Old 01-02-2007, 07:30 PM
 
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[QUOTE=avaylee;6899480]I declined it, but then got the political discussion from the MW. "If you have to transfer, we can't prove blah blah blah". /QUOTE]

What would happen with a transfer if you weren't tested for gd? I would think the most that would happen is that they would prick the baby after the birth if the baby was over 8 lbs 15 oz (I belive thats the weight cut off for most hospitals and even then if the baby isn't showing signs of being low in sugar than some might not test at all). Just wondering cause I have transfered before and they didn't even bring it up.

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#39 of 43 Old 01-02-2007, 07:42 PM
 
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She said something about them going the default route of assuming that I did have GD, and that if it was a transfer because I wasn't progressing, if I couldn't prove that I ~didn't~ have GD, they would assume the baby was too big and move towards a c-section more rapidly. (Although with these hips, I'd be surprised if I couldn't get a 10-pounder out of me with ease... but I digress.)

Might just be the hospitals that she has dealt with, I'm not really certain. She was ok with me not taking the test, but seemed to have had some bad experience maybe?

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#40 of 43 Old 01-04-2007, 07:07 PM
 
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I just got back from my 28-week appt where my midwife offerred this test. I declined it, and she tried to encourage me to take it anyway for two reasons:

1. High glucose levels effect on the devloping fetus' brain.
2. To maintain the midwifery model of care and prevent critisism from naysayers.

I researched the glucose and brain development thing and found an old study from 1987, which didn't really convince me to sway my opinion to consent to the test. And her second reason just made me angry. I'm sorry but I'm not going to stress myself out over this test just to make some doctors happy with my midwife in case of transfer to the hospital. :

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#41 of 43 Old 01-04-2007, 11:36 PM
 
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Good for you mamas standing up for yourselves!!! seems like a lot of pressure and intimidation mostly to cover their butts and because all these little tests are good revenue.
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#42 of 43 Old 01-05-2007, 07:35 PM
 
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Originally Posted by avaylee View Post
She said something about them going the default route of assuming that I did have GD, and that if it was a transfer because I wasn't progressing, if I couldn't prove that I ~didn't~ have GD, they would assume the baby was too big and move towards a c-section more rapidly. (Although with these hips, I'd be surprised if I couldn't get a 10-pounder out of me with ease... but I digress.)

Might just be the hospitals that she has dealt with, I'm not really certain. She was ok with me not taking the test, but seemed to have had some bad experience maybe?

That seems like alot of ifs. I just think her reasoning sounded a little out there. I think hospitals are moving to doing more and more c/s (they get insurance discounts for having higher c/s rate) so could be just that the hospitals are giving any and all reasons for c/s these days. Def sounds like she could have had a bad experience.

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#43 of 43 Old 01-05-2007, 08:47 PM
 
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I totally agree... a heck of a lot of if's. We didn't go into a long discussion about it, and she made a point of saying "the political side of this decision is in case you are transferred...", so I feel like maybe she was just making sure I was completely informed of all the potential outcomes.

It's sad to hear that insurance gives DISCOUNTS for higher c/s rates though. I thought it cost about 5x more for a c/s birth v. vaginal. Wonder why insurance would decide to make it even cheaper for the hospital to make that choice?

Gah... it's no wonder my birthing class is full of people that are all birth center, no hospitals. Eeesh.

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