4. Timing and mode of delivery

A spontaneous onset of labor will typically occur around 36 weeks gestation and the route of delivery is dependent on obstetric indications [33, 34]. There is a lack of high-level evidence to support early induction of labor in uncomplicated GS cases [35, 36] and a similar lack of evidence to support cesarean section [37]. Early (emergency) delivery is beneficial in closing GS [26].
