41 weeks pregnant, no doctor, can i be induced still?

Patient : I'm 41 weeks pregnant and no longer have a doctor because of insurance problems. I havent been seen in 2 months and I'm still waiting on Medical to finalize. I have gestational diabetes and fear I'm over baking my baby. What can I do? Can i go to the hospital/women's center to get induced? I have very mild. .contractions and haven't noticed my mucous plug come out yet, can I just go to the hospital?
Symptoms:  Mild contractions, back pain, pelvic pain
Doctor :   Hello, Thanks for contacting askthedoctor.com As you are already 41 weeks and post dated with gestational diabetes as a high risk factor , the primary concern is that the fetal movements are still perceived or not. In a case of gestational diabetes, the pregnancy is never allowed to cross 40 weeks and preferably delivered by induction of labour at 39 weeks itself as chances of Macrosomia is high and also there is a dreaded chance of unexplained still birth. It is important for you to monitor fetal movements and visit your physician now to contemplate induction of labour only after an ultrasound for fetal growth parameters which would ascertain that the baby is not macrosomic and that vaginal delivery is possible or not. Only once the fetal parameters are conducive should a vaginal attempt by induction should be made else there can be chances of shoulder dystocia during delivery and fetal morbidity. If the baby is found to be big , then you should be prepared for an immediate planned cesarean section for delivery as risks to continue the pregnancy further are higher than the benefits. Also make sure that there is an NICU facility in the center as there are high chances that the baby may develop hypoglycemia which is common in GDM mothers. So please visit your physician for an immediate delivery even if natural labour process is not starting. I hope i have answered the query in detail, wishing you safe outcome, regards

Related Q&A

Q: Insulin does not cross the placenta but glucose does, how will the baby’s body handle elevated glucose in the m...

Q: Is it possible to get pregnant while on the implanon? And if so, would the fetus survive or would it die with the imp...

Q: I have been on BCP for a while..It it normal to still breakthrough bleed? The blood is dark red to brown what can I d...

Q: My husband and I are trying to get pregnant and nothing seems to be happening. We have kids already but we want to ha...

Q: Is it possible to be pregnant an still see my monthly periods

 


DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews