title: Timing of Delivery in Gestational Diabetes Mellitus: Need for Person-Centered, Shared Decision-Making.
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.
authors.affiliation: Department of Obstetrics, Bharti Hospital, Karnal, India.
authors.forename: Bharti
authors.initials: B
authors.lastname: Kalra
authors.affiliation: Department of Endocrinology, AIIMS, New Delhi, India.
authors.forename: Yashdeep
authors.initials: Y
authors.lastname: Gupta
authors.affiliation: Department of Endocrinology, Bharti Hospital, Karnal, India. brideknl@gmail.com.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kalra
keywords: Antenatal corticosteroid therapy; Cephalopelvic disproportion; Diabetes; Fetomaternal distress; Labor; Macrosomia