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It's a elderly premigrida condition, my wife is 43 and today 9 July she is 35.4 days pregnant with no sugar and BP, how should I carry out the Delivery, 

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Honestly, talk to your wife & to her doctors to find out what's best for her & the baby. I will also be 43 by the time my baby is born, though I do have gestational diabetes & blood pressure.  My doctors are constantly monitoring me & I will be following their advice the whole way. I am hoping to have another natural birth like my first 3 daughters but if that has to change, so be it.

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