April 30, 2026 · American journal of perinatology · DOI: 10.1055/a-2854-5895

The Effect of Delivery Timing on Cesarean Delivery Rate in Pregnancies Complicated by Pregestational Diabetes and Large-for-Gestational-Age Neonate

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The authors aimed to evaluate the impact of delivery timing on cesarean delivery rates in pregnancies complicated by pregestational diabetes mellitus (PGDM) and large-for-gestational-age (LGA) fetuses. Their findings indicate that planned delivery after 39 weeks is associated with lower odds of cesarean delivery compared to expectant management, while planned delivery before 38 weeks may lead to higher cesarean rates and neonatal morbidity. This suggests that careful consideration is needed when managing these pregnancies beyond 38 weeks.

Heather Ward, Kavisha Khanuja, Rodney McLaren, Emily Schlussel Markovic, Huda Al-Kouatly

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