This case report illustrates a comprehensive approach to managing a late-term pregnancy complicated by Gestational Diabetes Mellitus (GDM) in a patient (YOGESHWARI - 26Y) at 38+5 weeks of gestation. The patient's journey, including diagnosis, monitoring and delivery, highlights the significance of integrating obstetric care with a multidisciplinary management strategy. Presented at St. Isabel’s Hospital in Mylapore with irregular lower abdominal pain and white vaginal discharge. Yogeshwari had a history of regular menstrual cycles and a previous normal vaginal delivery (NVD). GDM was diagnosed at 20 weeks and managed exclusively through diet. Regular ultrasound examinations throughout the pregnancy indicated normal fetal development, demonstrating the effectiveness of continuous fetal monitoring in GDM pregnancies. The management of Yogeshwari included not only strict dietary control and routine obstetric care but also involved a coordinated approach with specialists in endocrinology, nutrition and obstetrics. This collaborative strategy ensured both maternal and fetal health were optimally monitored and managed. As full term approached, labor was induced with oxytocin, considering the patient's gestational age and her GDM status. This induction resulted in the successful delivery of a healthy baby, showcasing the effectiveness of a multidisciplinary approach in managing complex pregnancies like GDM.
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