A 36 weeks pregnant diabetic female has a non-reactive NST. What should be done next?
A non-reactive NST is an indication for doing a biophysical profile (BPP). It is not an indication for directly doing an LSCS or inducing labor. In babies of diabetic mother, the lung maturity is delayed and so pregnancy should not be terminated at 36 weeks (unless there is fetal distress). So the babies of diabetic mothers should preferably be delivered between 38 weeks and 39 weeks. If the BPP score is poor, then it is an indication of immediate termination of pregnancy.
Induction of labor
LSCS
Do NST after 1 hour
Proceed to biophysical profile
Gestational Diabetes Mellitus