Most women have a glucose screening test (also called a glucose challenge test or GCT) between now and 28 weeks. This test checks for gestational diabetes, a pregnancy-related high-blood-sugar condition. Untreated diabetes increases your risk of having a difficult vaginal delivery or needing a cesarean section because it causes your baby to grow too large, especially in his upper body. It also raises your baby's odds for other complications like low blood sugar right after birth. A positive result on your GCT doesn't mean you have gestational diabetes, but it does mean that you'll need to take the glucose tolerance test (GTT) to find out for sure.
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Call your midwife or doctor right away if you're having any of the following symptoms before 37 weeks:
- An increase in vaginal discharge
- A change in the type of discharge — if it becomes watery, mucus-like, or bloody (even if it's pink or just tinged with blood)
- Any vaginal bleeding or spotting
- Abdominal pain, menstrual-like cramping, or more than four contractions in one hour (even if they don't hurt)
- An increase in pressure in the pelvic area (a feeling that your baby is pushing down)
- Low back pain, especially if you didn't previously have back pain.
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