Work

Medical termination of unplanned pregnancies in women with diabetes

Year: 2025

Type: article

Abstract: Women living with diabetes may experience unplanned pregnancies. This poses challenges and risk to both maternal and foetal health in case glycaemia and other associated comorbidities are not optimized. This may lead to doubts regarding continuation of pregnancy, given there are no clear guidelines or position statement for decision regarding termination or continuation of pregnancy. Multiple biomedical, psychosocial and environmental factors determine the course and outcome of such pregnancies. In such situations, a comprehensive analysis of foeto maternal health helps inform the antenatal woman, so that the right decision can be made, in a person-centred manner. This review proposes various algorithms to assist in shared decision making, including a 2x2x2 rubric (Psychosocial: statutory (legal), system-specific; emotional, economic; Biomedical: obstetric, offspring health; medical, metabolic health). No single biochemical value should be taken as an indication for termination of pregnancy, unless the foetus is incompatible with life.

Source: Journal of the Pakistan Medical Association

DOI: 10.47391/jpma.25-76

Authors: Bharti Kalra, Yashdeep Gupta, Nitin Kapoor, Sanjay Kalra

Institutions: Bharti Hospital, All India Institute of Medical Sciences, Baker Heart and Diabetes Institute, Christian Medical College, Vellore, Chandigarh University

Language: English

Topic: Pregnancy and Medication Impact

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $650