The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS, a homebirth midwife in Mountain View, CA
An interactive resource for moms on easy steps they can take to reduce exposure to chemical toxins during pregnancy.
Other excellent resources about avoiding toxins during pregnancy
These are easy to read and understand and are beautifully presented.
We used the 16 regular sized jelly beans for our 50 gram glucose load and it went way easier in the moms. The routine was(is)--fast for 3 hours, 16 jelly beans, blood draw in exactly 1 hour. Worked fine, and most moms chose that over the liquid.
I'm dubious of this. We tried to do the same thing with 3 Musketeers
Bars when was in residency, but the absorption was different. Patient states
that her last pregnancy she choked on the glucola. I told her that studies
have shown no difference if you dilute the carbohydrate drink, but Jelly
I would think that Three Musketeers would have fat, which could inhibit
absorption, as opposed to jelly beans, which are essentially fat-free.
If I recall, the jelly beans had to be Brach's brand in order to make sure
the size and number were accurate.
I have always considered the 50 gm carbohydrate drink imprecise, so
I'm not too concerned about the jelly beans being imprecise. We have been
giving patients the option for the past year or so. Some prefer the jelly
beans, especially when they have had nausea or even vomiting in response
to the drink in the past. Also, it is convenient to give them jelly beans
at 24 weeks, with instructions to eat them 60 minutes before their 28 week
I just heard Steve Gabbe discuss this at our district meeting (actually,
last October). He uses it occasionally. The problem, though, is the study
was only validated with Brach's jelly beans. In addition, they have to
be eaten within 2 minutes. Only half of his residents could eat 18 jelly
beans completely within 2 minutes.
Is it necessary to chew or can they be swallowed whole?
We began using jelly beans this year, and have not noted any problems with our patients' ingesting 18 jelly beans in 2 minutes. There are a lot of satisfied women that were grateful they weren't required to drink "the orange stuff". We had a run of 3 pregnant women vomiting in the lab waiting area and our lab director initiated the jellybeans. We are tracking our positive/ negative rates.
Oh, yes, and we always encourage chewing.
We've been offering the 18-regular-sized-jelly beans-after-3-hours-of-fasting-draw-the-blood-1-hour-later
glucose test at 28 weeks (our back-ups are REAL attached to screening)
and most moms prefer it a lot over the 50 mg orange pop route.
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