Skip to main content
Top
Published in: Diabetes Therapy 2/2016

Open Access 01-06-2016 | Commentary

Timing of Delivery in Gestational Diabetes Mellitus: Need for Person-Centered, Shared Decision-Making

Authors: Bharti Kalra, Yashdeep Gupta, Sanjay Kalra

Published in: Diabetes Therapy | Issue 2/2016

Login to get access

Abstract

Gestational diabetes mellitus (GDM) is a medical as well as obstetric challenge, which needs person-centered management. The timing of delivery of women with GDM is discussed by various obstetric professional bodies. We highlight pertinent medical, obstetric, and psychosocial factors which may influence the timing of delivery in women with GDM. This commentary proposes a person-centered approach to decide the delivery timing in GDM and supports shared decision-making based upon the individual’s biopsychosocial characteristics and environmental factors.
Literature
1.
go back to reference Ignell C, Claesson R, Anderberg E, Berntorp K. Trends in the prevalence of gestational diabetes mellitus in southern Sweden, 2003–2012. Acta Obstet Gynecol Scand. 2014;93(4):420–4.CrossRefPubMed Ignell C, Claesson R, Anderberg E, Berntorp K. Trends in the prevalence of gestational diabetes mellitus in southern Sweden, 2003–2012. Acta Obstet Gynecol Scand. 2014;93(4):420–4.CrossRefPubMed
2.
go back to reference Bardenheier BH, Imperatore G, Gilboa SM, Geiss LS, Saydah SH, Devlin HM, et al. Trends in gestational diabetes among hospital deliveries in 19 US States, 2000–2010. Am J Prev Med. 2015;49(1):12–9.CrossRefPubMedPubMedCentral Bardenheier BH, Imperatore G, Gilboa SM, Geiss LS, Saydah SH, Devlin HM, et al. Trends in gestational diabetes among hospital deliveries in 19 US States, 2000–2010. Am J Prev Med. 2015;49(1):12–9.CrossRefPubMedPubMedCentral
3.
go back to reference Guariguata L, Linnenkamp U, Beagley J, Whiting DR, Cho NH. Global estimates of the prevalence of hyperglycaemia in pregnancy. Diabetes Res Clin Pract. 2014;103(2):176–85.CrossRefPubMed Guariguata L, Linnenkamp U, Beagley J, Whiting DR, Cho NH. Global estimates of the prevalence of hyperglycaemia in pregnancy. Diabetes Res Clin Pract. 2014;103(2):176–85.CrossRefPubMed
4.
go back to reference Barbour LA. Unresolved controversies in gestational diabetes: implications on maternal and infant health. Curr Opin Endocrinol Diabetes Obes. 2014;21(4):264–70.CrossRefPubMed Barbour LA. Unresolved controversies in gestational diabetes: implications on maternal and infant health. Curr Opin Endocrinol Diabetes Obes. 2014;21(4):264–70.CrossRefPubMed
5.
go back to reference Kalra B, Gupta Y, Baruah MP. Renaming gestational diabetes mellitus: a psychosocial argument. Indian J Endocrinol Metabol. 2013;17(9):593.CrossRef Kalra B, Gupta Y, Baruah MP. Renaming gestational diabetes mellitus: a psychosocial argument. Indian J Endocrinol Metabol. 2013;17(9):593.CrossRef
6.
go back to reference American College of Obstetricians and Gynecologists. ACOG committee opinion no. 560: medically indicated late-preterm and early-term deliveries. Obstet Gynecol. 2013;121:908–10.CrossRef American College of Obstetricians and Gynecologists. ACOG committee opinion no. 560: medically indicated late-preterm and early-term deliveries. Obstet Gynecol. 2013;121:908–10.CrossRef
7.
go back to reference Hod M, Bar J, Peled Y, Fried S, Katz I, Itzhak M, et al. Antepartum management protocol. Timing and mode of delivery in gestational diabetes. Diabetes Care. 1998;21:B113–7.PubMed Hod M, Bar J, Peled Y, Fried S, Katz I, Itzhak M, et al. Antepartum management protocol. Timing and mode of delivery in gestational diabetes. Diabetes Care. 1998;21:B113–7.PubMed
8.
go back to reference American College of Obstetricians and Gynecologists. ACOG committee opinion no. 579: definition of term pregnancy. Obstet Gynecol. 2013;122:1139–40.CrossRef American College of Obstetricians and Gynecologists. ACOG committee opinion no. 579: definition of term pregnancy. Obstet Gynecol. 2013;122:1139–40.CrossRef
9.
go back to reference Kalra B, Sridhar GR, Madhu K, Balhara YP, Sahay RK, Kalra S. Psychosocial management of diabetes in pregnancy. Indian J Endocrinol Metabol. 2013;17(5):815.CrossRef Kalra B, Sridhar GR, Madhu K, Balhara YP, Sahay RK, Kalra S. Psychosocial management of diabetes in pregnancy. Indian J Endocrinol Metabol. 2013;17(5):815.CrossRef
10.
go back to reference Walmer R, Huynh J, Wenger J, Ankers E, Mantha AB, Ecker J, et al. Mental health disorders subsequent to gestational diabetes mellitus differ by race/ethnicity. Depress Anxiety. 2015;32(10):774–82.CrossRefPubMed Walmer R, Huynh J, Wenger J, Ankers E, Mantha AB, Ecker J, et al. Mental health disorders subsequent to gestational diabetes mellitus differ by race/ethnicity. Depress Anxiety. 2015;32(10):774–82.CrossRefPubMed
11.
go back to reference Blumer I, Hadar E, Hadden DR, Jovanovič L, Mestman JH, Murad MH, et al. Diabetes and pregnancy: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2013;98(11):4227–49.CrossRefPubMed Blumer I, Hadar E, Hadden DR, Jovanovič L, Mestman JH, Murad MH, et al. Diabetes and pregnancy: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2013;98(11):4227–49.CrossRefPubMed
12.
go back to reference Greuter MJ, van Emmerik NM, Wouters MG, van Tulder MW. Quality of guidelines on the management of diabetes in pregnancy: a systematic review. BMC Pregnancy Childbirth. 2012;12(1):1.CrossRef Greuter MJ, van Emmerik NM, Wouters MG, van Tulder MW. Quality of guidelines on the management of diabetes in pregnancy: a systematic review. BMC Pregnancy Childbirth. 2012;12(1):1.CrossRef
13.
go back to reference Gawlik S, Müller M, Kuon RJ, Szabo AZ, Keller D, Sohn C. Timing of elective repeat caesarean does matter: importance of avoiding early-term delivery especially in diabetic patients. J Obstet Gynaecol. 2015;35(5):455–60.CrossRefPubMed Gawlik S, Müller M, Kuon RJ, Szabo AZ, Keller D, Sohn C. Timing of elective repeat caesarean does matter: importance of avoiding early-term delivery especially in diabetic patients. J Obstet Gynaecol. 2015;35(5):455–60.CrossRefPubMed
14.
go back to reference Aviram A, Guy L, Ashwal E, Hiersch L, Yogev Y, Hadar E. Pregnancy outcome in pregnancies complicated with gestational diabetes mellitus and late preterm birth. Diabetes Res Clin Pract. 2016. doi:10.1016/j.diabres.2015.12.018 Aviram A, Guy L, Ashwal E, Hiersch L, Yogev Y, Hadar E. Pregnancy outcome in pregnancies complicated with gestational diabetes mellitus and late preterm birth. Diabetes Res Clin Pract. 2016. doi:10.​1016/​j.​diabres.​2015.​12.​018
16.
go back to reference Ballas J, Moore TR, Ramos GA. Management of diabetes in pregnancy. Curr Diab Rep. 2012;12(1):33–42.CrossRefPubMed Ballas J, Moore TR, Ramos GA. Management of diabetes in pregnancy. Curr Diab Rep. 2012;12(1):33–42.CrossRefPubMed
17.
go back to reference Lee VR, Niu B, Kaimal A, Caughey AB. Induction of labor for suspected macrosomia: a cost-effectiveness analysis. Obstet Gynecol. 2015;1(125):103S. Lee VR, Niu B, Kaimal A, Caughey AB. Induction of labor for suspected macrosomia: a cost-effectiveness analysis. Obstet Gynecol. 2015;1(125):103S.
18.
go back to reference Sutton AL, Mele L, Landon MB, Ramin SM, Varner MW, Thorp JM, et al. Delivery timing and cesarean delivery risk in women with mild gestational diabetes mellitus. Am J Obstet Gynecol. 2014;211(3):244–5.CrossRefPubMedPubMedCentral Sutton AL, Mele L, Landon MB, Ramin SM, Varner MW, Thorp JM, et al. Delivery timing and cesarean delivery risk in women with mild gestational diabetes mellitus. Am J Obstet Gynecol. 2014;211(3):244–5.CrossRefPubMedPubMedCentral
19.
go back to reference Kalra S, Sridhar GR, Balhara YP, Sahay RK, Bantwal G, Baruah MP, et al. National recommendations: psychosocial management of diabetes in India. Indian J Endocrinol Metab. 2013;17(3):376.CrossRefPubMedPubMedCentral Kalra S, Sridhar GR, Balhara YP, Sahay RK, Bantwal G, Baruah MP, et al. National recommendations: psychosocial management of diabetes in India. Indian J Endocrinol Metab. 2013;17(3):376.CrossRefPubMedPubMedCentral
20.
go back to reference Bajaj S, Jawad F, Islam N, Mahtab H, Bhattarai J, Shrestha D, et al. South Asian women with diabetes: psychosocial challenges and management: consensus statement. Indian J Endocrinol Metab. 2013;17(4):548.CrossRefPubMedPubMedCentral Bajaj S, Jawad F, Islam N, Mahtab H, Bhattarai J, Shrestha D, et al. South Asian women with diabetes: psychosocial challenges and management: consensus statement. Indian J Endocrinol Metab. 2013;17(4):548.CrossRefPubMedPubMedCentral
21.
go back to reference Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.CrossRefPubMed Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.CrossRefPubMed
22.
go back to reference Baruah MP, Kalra B, Kalra S. Patient centred approach in endocrinology: from introspection to action. Indian J Endocr Metab. 2012;16:679–81.CrossRef Baruah MP, Kalra B, Kalra S. Patient centred approach in endocrinology: from introspection to action. Indian J Endocr Metab. 2012;16:679–81.CrossRef
23.
go back to reference Peleg D, Warsof S, Wolf MF, Perlitz Y, Shachar IB. Counseling for fetal macrosomia: an estimated fetal weight of 4,000 g is excessively low. Am J Perinatol. 2015;32(1):71–4.PubMed Peleg D, Warsof S, Wolf MF, Perlitz Y, Shachar IB. Counseling for fetal macrosomia: an estimated fetal weight of 4,000 g is excessively low. Am J Perinatol. 2015;32(1):71–4.PubMed
Metadata
Title
Timing of Delivery in Gestational Diabetes Mellitus: Need for Person-Centered, Shared Decision-Making
Authors
Bharti Kalra
Yashdeep Gupta
Sanjay Kalra
Publication date
01-06-2016
Publisher
Springer Healthcare
Published in
Diabetes Therapy / Issue 2/2016
Print ISSN: 1869-6953
Electronic ISSN: 1869-6961
DOI
https://doi.org/10.1007/s13300-016-0162-2

Other articles of this Issue 2/2016

Diabetes Therapy 2/2016 Go to the issue