Optimal timing and mode of delivery in the gestational diabetic pregnancy

Many factors impact decisions regarding timing and mode of delivery in the gestational diabetic patient at term. Delivery of a healthy, appropriately sized infant is our goal, and we attempt to achieve this while minimizing m aternal morbidity. This article evaluates the existing literature to define valid indications for intervention at term; to assess the need for fetal l ung maturity testing; to compare sonographic predictors of the overgrown fe tus; and to determine the optimal delivery route for macrosomic fetuses. Ar eas to be targeted for further investigation are also presented.