Final answer:
Scheduled C/S is considered for women with GDM when there's fetal macrosomia, or associated complications. Each case is individual, and decision depends on multiple factors including glycemic control.
Step-by-step explanation:
Women with Gestational Diabetes Mellitus (GDM) should be considered for a scheduled Cesarean section (C/S) if there are obstetric indications such as macrosomia (estimated fetal weight > 4500 grams in the presence of GDM), or if the pregnancy has associated complications that may be exacerbated by labor or vaginal delivery. It is essential that each case be evaluated on an individual basis by the healthcare provider, taking into consideration the mother's health, the baby's condition, the effectiveness of glycemic control, and the overall gestational age.
In some instances, if the GDM is well-controlled and there are no additional risk factors or complications, a vaginal delivery can be attempted. However, continuous monitoring of both the mother's blood glucose levels and the baby's wellbeing during labor is imperative. A glucose tolerance test is often performed to monitor the mother's ability to process glucose, and if hyperglycemia is present, it may indicate a need for more aggressive management of GDM.