Although we were unable to determine gestational vs pregestational diabetes, the distinction of requiring or not requiring insulin is in line with recommendations to base timing of delivery on whether or not insulin is used.3 Additionally, we examined significant neonatal morbidities that have been associated with elective, early-term deliveries.6,16 We elected to examine neonatal morbidity in addition to stillbirth because morbidity (particularly respiratory morbidity) may be a potential consequence of early-term delivery and may occur more frequently than stillbirth or neonatal death. Here, INS is linked to Stillbirth.