Most women with diabetes are able to go into labor naturally at term and have vaginal deliveries. If blood sugars are not well controlled or if the delivery might occur before 39 weeks, an amniocentesis may be important to determine if the baby's lungs are mature. During labor, the baby may need electronic monitoring, and you may need regular blood sugar tests. If there are complications during pregnancy, such as pre-eclampsia (high blood pressure, which can endanger the mother and baby) or macrosomia (large baby size, which can cause the baby to become stuck in the birth canal), your doctor may recommend inducing labor (stimulating labor) or a Cesarean delivery.

After delivery, your baby may need to spend a few days in the nursery to stabilize a few potential (but treatable) problems, such as low blood sugar, low calcium and magnesium levels, breathing problems and neonatal jaundice.

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