Ep. 355: Understanding Gestational Diabetes: Testing, Risks, and Management with Midwife Melissa Chappell

Ep. 355: Understanding Gestational Diabetes: Testing, Risks, and Management with Midwife Melissa Chappell

In this episode of The Birth Lounge podcast, host HeHe discusses one of the most requested topics, Gestational Diabetes Mellitus (GDM), with midwife Melissa Chappell. Melissa, who owns Utah Birth Suites and founded Songbird Maternity, offers a holistic view on women's health and is a staunch advocate for informed consent and patient autonomy. The conversation dives deep into what GDM is, how it occurs, the importance of testing, and why the typical 50-gram glucose challenge may not always reflect reality. The duo also covers alternative testing methods, including continuous glucose monitoring, diet and exercise's role, and the impact of GDM on the baby. Melissa sheds light on the myths and truths about GDM, the implications of controlled versus uncontrolled GDM, and the risks associated with traditional medical practices, such as induction. Listeners will walk away feeling informed and empowered to engage in confident discussions with their healthcare providers. Tune in to get evidence-based insights, especially focusing on holistic and patient-centered care approaches for managing gestational diabetes.

00:00 Introduction to Gestational Diabetes

01:27 Meet Our Expert Guest: Melissa Chappell

02:33 Understanding Gestational Diabetes Mellitus (GDM)

03:03 Testing and Alternatives for Gestational Diabetes

03:53 Impact of Gestational Diabetes on Mother and Baby

10:16 Historical Perspective and Current Statistics

12:42 Challenges with Current Testing Methods

16:26 Managing Gestational Diabetes: Diet and Monitoring

24:07 Risks and Misconceptions about Big Babies

31:37 Pitocin Use and Its Implications

39:13 Increased Medical Interventions in Pregnancy

40:17 The Impact of Glucose Restriction on Babies

42:31 Research Findings on Blood Glucose Thresholds

44:24 Managing Gestational Diabetes with Diet and Exercise

48:50 Alternative Testing Methods for Gestational Diabetes

01:00:06 Understanding HbA1c and Its Limitations

01:08:04 Postpartum Care for Babies of Gestational Diabetic Mothers

01:12:42 Connecting with Melissa and Doula Training Opportunities

01:14:40 Conclusion and Final Thoughts

Guest Bio:

Melissa Chappell, LDEM, CPM is a midwife and owner of two birth centers in Utah, and as well is a doula trainer of over 22 years. She is passionate about women’s health from a holistic and nourishing perspective, and advocates for women’s wellness in all areas of their lives. She has worked with midwives and birthing women all over the world, including in Haiti, Ethiopia, and Kenya, and loves seeing how women’s lives improve with access to safe and effective midwifery care. She is the mother of 4 children and 4 grandchildren that she adores. In between catching babies, Melissa loves to explore as much of the world as she can – from international travel to exploring the mountains in her backyard.

SOCIAL MEDIA:

Connect with HeHe on IG

Connect with Melissa on IG

Connect with Melissa and her daughter on YouTube!

BIRTH EDUCATION:

Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!

Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!

LINKS MENTIONED:

Lily Nichols: Real Food in Pregnancy

Use code HeHe to sign up for doula education and 25% off the Birth Education Library with Melissa at https://www.melissachappell.com/

RESEARCH:

https://www.cochranelibrary.com/web/cochrane/content?templateType=full&urlTitle=/cdsr/doi/10.1002/14651858.CD012394.pub3&doi=10.1002/14651858.CD012394.pub3&type=cdsr&contentLanguage=

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05779-z

Gestational diabetes and the risk of late stillbirth: a case-control study from England, UK - PubMed

https://www.cochranelibrary.com/web/cochrane/content?templateType=full&urlTitle=/cdsr/doi/10.1002/14651858.CD011624.pub3&doi=10.1002/14651858.CD011624.pub3&type=cdsr&contentLanguage=

Big Babies: the risk of care provider fear | Dr Rachel Reed

Avsnitt(386)

10: Friday Free Talk: Body Shamers ​

10: Friday Free Talk: Body Shamers ​

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23 Mars 201818min

9: Finding the Balance of Motherhood and Managing a Quickly Growing Business with Amber Dalton

9: Finding the Balance of Motherhood and Managing a Quickly Growing Business with Amber Dalton

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8: Friday Free Talk: Certification

8: Friday Free Talk: Certification

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7: Exercise during Pregnancy with Erika Tsipouras

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They say habits that are formed while you're pregnant are more likely to stay around! What better time to implement exercise into your life than when you are growing a tiny human! Erika is a ACE certified Pre and Postnatal personal trainer. In this episode, we dive into the exercising during pregnancy, postpartum fitness, and body-shamers! Join us in this exclusive conversation all about staying fit while being an expectant and new parent!   Shownotes: Check out the blog!  Don’t forget to join our private Facebook, The Tranquility Tribe Podcast, and follow us on Instagram at @tranquilitybyhehe!

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6: Type 1 Diabetes and Pregnancy with Audra Smith

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In this episode, HeHe sits down with Audra Smith, an expectant mom who has Type 1 Diabetes. She shares her story and how the disease has affected her pregnancy. She and her husband, Brian, struggled to get pregnant and Audra dives into how she believes her T1D played a role in that. For any mom out there who is experience complications in your pregnancy, this episode is for you! She spits truth about keeping it real and also showing people the struggles of battling a life-threatening disease while growing a tiny human. She truly understands the meaning of the villages and believes in doing this together!    Shownotes:   Check out the blog!    If you want to learn more about Audra and follow along with her journey, you can find her on Instagram at @audrashoupesmith.  Don’t forget to join our private Facebook, The Tranquility Tribe Podcast, and follow us on Instagram at @tranquilitybyhehe!

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5: Diving into Tiny Human sleep patterns with Alyssa Blask Campbell

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27 Feb 201830min

4: Tackling the mysterious pelvic floor: trauma, pleasure, and awakening the goddess with Madison White

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Madison White is a Pelvic Floor Therapist and a member of the Tranquility Team. She is a holistic practiioner in healing women with energetic and physical healing support. She is the founder of God(us) Circles and practiced as a nurse for many years before finding her passion for women's health, specifically women's sexual health. Join us as we tackle the sticky questions of painful sex, the inpact of birth on the pelvic floor, and how to best heal after having a baby!  Shownotes:   Check out the blog here!  If you are interested in learning more about Madison’s work and how she can help you, you can find more information on her website at www.madisonwhite.net or you can contact her via email at healing@madisonwhite.net or via phone at (339) 201-1346. Madison offers exclusive discounts for Tranquility by HeHe clients to ensure you are pampered in your journey to parenthood!  Don’t forget to join our private Facebook, The Tranquility Tribe Podcast, and follow us on Instagram at @tranquilitybyhehe!

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3: Is acupuncture really worth it? with Nicole Brown

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Nicole Brown is an acupuncturist in the Boston area and specializes in Women's Health. She is honest about what she thinks will help and has so many remedies. She is part of the Tranquility Team and believes in the power of mindset. Nicole has studied chinese medicine and encourages women to focus on themselves by eating right, exercising, and building in self-care time. Join in as we talk about acupuncture  as labor prep, in labor, and as birth recovery support. We also dive into mood disorders. If you are thinking about making acupuncture your prenatal-self care splurge, this is the episode for you!    Shownotes:    Check out the blog here!   Nicole is located in Brookline, MA.  If you would like to learn more about her practice, you can contact her or sign up for her newsletter on her website or you can follow her on Facebook. Nicole offers exclusive discounts for Tranquility by HeHe clients to ensure you are pampered in your journey to parenthood!  Don’t forget to join our private Facebook, The Tranquility Tribe Podcast, and follow us on Instagram at @tranquilitybyhehe!

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