Question

A 30-year-old woman at 39 weeks' gestation with gestational diabetes mellitus controlled on insulin presents for routine obstetric review. According to SOGC guidance, which is the most appropriate timing of delivery in the absence of other complications?

Accepted Answer

Induction of labour between 38 and 40 weeks' gestation

Answer

Elective caesarean section at 37 weeks

Answer

Expectant management until 42 weeks

Answer

Immediate induction at 34 weeks to prevent macrosomia

Answer

Planned caesarean section at 41+6 weeks if undelivered

Practice question

A 30-year-old woman at 39 weeks' gestation with gestational diabetes mellitus controlled on insulin presents for routine obstetric review. According to SOGC guidance, which is the most appropriate timing of delivery in the absence of other complications?