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PCOS patients suffer from a greater risk of delivery and pregnancy problems. These include a threefold rise in miscarriage problems during the early part of pregnancy compared to healthy women. Pregnant women with PCOS also run the risk of developing diabetes. Gestational diabetes is an acute problem that leads to big babies, body swelling during the 20th week of pregnancy, C-section delivery, preterm birth, and preeclampsia which causes a sudden rise in blood pressure. Patients need to monitor their blood sugar more often at the time of pregnancy, preferably before meals, during bedtime, at night, and a couple of hours after a meal. Women using insulin pumps prior to pregnancy should continue using the device. But avoid starting insulin pump usage for the first time during pregnancy. Vitamins and medical nutrition therapy is useful for some pregnant women with PCOS. So, despite the risks associated with conception, PCOS patients can have a relatively stress-free delivery experience with the right care and control. They can even breastfeed their babies without any concern.