Pregnant women with GDM are more likely to develop gestational
hypertension, preeclampsia, or preterm labor. A serious metabolic
complication is diabetic ketoacidosis, which might cause maternal
death (Evans, 2009). Maternal hyperglycemia also results in large-forgestational-age infants, which are at risk for birth injury due to
shoulder dystocia. Infants born to mothers with a history of GDM are
more likely to develop neonatal hypoglycemia and hyperbilirubinemia (Serlin & Lash, 2009)