Risk Factors for a Primary Cesarean Delivery in Pregnancies Complicated by Pregestational Diabetes

In pregestational diabetes overseen by a dedicated diabetic pregnancy management team with uniform treatment plans, and strict blood glucose control, chronic hypertension and maternal weight gain were the primary contributors for a primary cesarean. Other contributors included maternal hemoglobin A1c levels, HC/AC ratios on ultrasound, and maternal weight gain during pregnancy. These results highlight the importance of actively managing maternal weight and hypertension prior to pregnancy and focusing on maternal glucose control and weight gain during pregnancy.