Five or more previous pregnancies. History of an unexplained fetal death or stillbirth. While there are no specific preventive measures, prepregnancy weight loss in overweight women and prepregnancy evaluation for women considered borderline diabetic or who have a history of GDM may help reduce maternal or fetal risks. The key to successful treatment and a healthy baby is determined by the mother's motivation and ability to change her lifestyle. For some, dietary control is sufficient, while for others, insulin may be required for treatment.
Labor is spontaneous and the birth is usually vaginal.
Cesarean section may be necessary if the fetus is considered too large for a vaginal birth. Gestational diabetes usually disappears with delivery of the baby. Patients with poor glucose control may need to have labor induced. There is an increased risk for the mother of developing diabetes mellitus in the future. Enlist the support of other family members for help in making the necessary changes.