Medical termination of unplanned pregnancies in women with diabetes Authors Bharti Kalra Department of Gynaecology, Bharti Hospital, Karnal, India. Yashdeep Gupta Department of Endocrinology, All India Institute of Medical Sciences, New Delhi, India. Nitin Kapoor Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, India; Non communicable disease unit, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia. Sanjay Kalra Department of Endocrinology, Bharti Hospital, Karnal, India; University Center for Research & Development, Chandigarh University, Mohali, India DOI: https://doi.org/10.47391/JPMA.25-76 Abstract Women living with diabetes may experience unplannedpregnancies. This poses challenges and risk to bothmaternal and foetal health in case glycaemia and otherassociated comorbidities are not optimized. This may leadto doubts regarding continuation of pregnancy, giventhere are no clear guidelines or position statement fordecision regarding termination or continuation ofpregnancy. Multiple biomedical, psychosocial andenvironmental factors determine the course andoutcome of such pregnancies. In such situations, acomprehensive analysis of foeto maternal health helpsinform the antenatal woman, so that the right decisioncan be made, in a person-centred manner. This reviewproposes various algorithms to assist in shared decisionmaking, including a 2x2x2 rubric (Psychosocial: statutory(legal), system-specific; emotional, economic; Biomedical:obstetric, offspring health; medical, metabolic health). Nosingle biochemical value should be taken as an indicationfor termination of pregnancy, unless the foetus isincompatible with life. Keywords: Congenital malformations, diabetes, medicaltermination of pregnancy, obstetric health, pregnancy Downloads Full Text Article Published 2025-09-25 How to Cite Bharti Kalra, Yashdeep Gupta, Nitin Kapoor, & Sanjay Kalra. (2025). Medical termination of unplanned pregnancies in women with diabetes. Journal of the Pakistan Medical Association, 75(10), 1639–1641. https://doi.org/10.47391/JPMA.25-76 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 75 No. 10 (2025): OCTOBER Section RECENT ADVANCES IN ENDOCRINOLOGY License Copyright (c) 2025 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.