Table 1.

Factors influencing timing of delivery in GDM

Factors	Favoring early term delivery (<39 weeks gestation)	Favoring term delivery (≥39 weeks gestation)
Past obstetric factors	H/o previous pregnancy loss H/o previous IUD at term H/o macrosomia H/o previous caesarian sections	No bad obstetric history
Current obstetric factors	H/o loss of fetal movement Macrosomia (suspected fetal weight ≥4000 g) IUGR Compromised placental maturity	Optimal fetomaternal health
Medical factors	Uncontrolled diabetes Retinal complications Renal complications Compromised cardiovascular health	Well-controlled, uncomplicated diabetes
Psychological factors	Patient request for early LSCS	Patient reluctance for early delivery
Social factors	Availability of neonatology care Ability to provide ACS coverage Inability to come for frequent follow-up Patient having to travel long distance for obstetric/medical care	Lack of specialist neonatology care Inability to provide ACS coverage Geographic proximity of health-care facility Ability to travel comfortably and safely for obstetric follow-up

GDM gestational diabetes mellitus, IUGR intrauterine growth retardation, LSCS lower segment caesarian section, ACS antenatal corticosteroid therapy, H/o history of