scholarly journals Life Experience of Pregnant Woman with Gestational Diabetes Mellitus in Maternal Role Attainment in Special Region of Yogyakarta

Jurnal NERS ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 199
Author(s):  
Indah Wulaningsih ◽  
Elsi Dwi Hapsari ◽  
Heny Suseani Pangastuti ◽  
Robert Priharjo

Introduction: Gestational Diabetes Mellitus (GDM) is any abnormal carbohydrate intolerance that begins or is first recognized during pregnancy. The presence of GDM has important implications for both the baby and the mother. Objective:  This study explored life experience of pregnant woman with GDM in maternal role attainment. Methods: This was a phenomenological approach qualitative research. Participants were 12 mothers who gave birth to a maximum of 1 year with a history of GDM selected by purposive sampling technique with sampling criteria. Data analysis used the Colaizzi method (2011). Results: There were eight categories, e.g. the experience of the mother in GDM diagnosis; the influence GDM of the pregnancy; mother's experience in trying hard to   keep her pregnancy; a variation of life experience of mothers during pregnancy, childbirth, and post-delivery; the perception of mother of her role being a mother, the factors that support the development and achievement of the maternal role attainment; the mother's experience in integrating the identity of her role as mother; gap and the desire of the mother with GDM in receiving health services. Life experience of GDM mothers in achieving  maternal role attainment has a diversity. Discussion: Pregnant mothers with GDM experience various maternal role attainments. They cannot attain the role optimally.

2008 ◽  
Vol 22 (S1) ◽  
Author(s):  
Marcela Perez ◽  
Esther Casanueva ◽  
Jessica de Haene ◽  
Adalberto Parra ◽  
Janet C King

Diabetes is one of the major chronic diseases in all population which is a major health challenge. The diabetes developed during pregnancy is called Gestational diabetes mellitus (GDM). The identification of GDM at early stages of the pregnancy is very important otherwise it will lead to major health issues both in mother and the baby. We developed a Data mining (DM) model to analyze the risk factors of GDM using different DM techniques. Dataset used for analysis contains the details of the pregnant women collected from the local hospital of Mysuru, India. The clustering and classification techniques used are k-means clustering, J48 Decision Tree, Random-Forest and Naive-Bayes classifier. Classification accuracy is enhanced by using feature subset selection wrapper approach. A balanced dataset is developed by using Synthetic Minority Over-sampling Technique (SMOTE).Using accuracy the performances of classifiers are compared.


Author(s):  
Troy Fonda ◽  
Hermina Novida

Gestational diabetes mellitus (GDM) is a hyperglycemic condition that is first discovered during pregnancy. GDM is a high-risk condition during pregnancy, for both mother and fetus. GDM affects about 1–14% of pregnancies. In the last 20 years, the incidence of gestational diabetes has been increasing. High iron load and disorders of iron metabolism have been associated with glucose metabolism. The beta thalassemias are a group of hereditary hemoglobinopathies. Treatment for beta thalassemias patients is transfusion, but intensive transfusion can aggravate iron overload in patients. In this study, a case of GDM in a pregnant woman with beta-thalassemia was reported.


2019 ◽  
Vol 17 (1) ◽  
pp. 15-18
Author(s):  
Maria Ghafoor ◽  
Najma Farhat ◽  
Firdous Khatoon ◽  
Asifa Ghazi ◽  
Fauzia Anbreen ◽  
...  

Background: In developing countries, miscarriage is one of the common and increasing problems of pregnancy. The objectives of this study were to determine the frequency of pre-gestational diabetes mellitus among pregnant women with miscarriage in our population. Materials & Methods: This descriptive, cross-sectional study was conducted in the Department of Gynecology and Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from 3rd November 2015 to 2nd May 2016. Sample size was 268 pregnant women with miscarriage selected through consecutive sampling technique. Inclusion criteria were all pregnant women with miscarriage. Exclusion criteria were molar pregnancy, ectopic pregnancy and diabetics. HbA1c levels of ≤6% was taken as normal, whereas a level >6 was taken as raised level or pre-gestational diabetes. Variables were age, pre-gestational diabetes mellitus, number of pregnancies and duration of pregnancy (≤24, >24). Mean and SD were calculated for quantitative while frequency and percentages for qualitative variables. Descriptive analysis was performed by using SPSS version 16. Results: Mean age of the patients was 27.66 ±4.93 years. Out of 268 participants, 81(30.22%) were having pre-gestational diabetes mellitus and 187(69.78) were normal, 234(87.31%) were having first pregnancy whereas 34 were having >1 pregnancies, the pre-gestational age ≤ 24 weeks were 130(48.51%) and >24 weeks were 138(51.49%). Conclusion: One third of the patients with miscarriage were having pre-gestational diabetes mellitus. Almost half of the patients were having gestational age of


Jurnal NERS ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. 162
Author(s):  
Tri Ismu Pujiyanto ◽  
Indah Wulaningsih

Introduction: Gestational Diabetes Mellitus (GDM) is becoming one of the major public health problems. It is important to screen the GDM and for the case to be managed by nurses. Nurses are needed to care for pregnant women with GDM, and the work experience of nurses is directly related to the assistance and quality of care provided. However, nurses face some barriers in understanding the GDM and providing good management thereof. This study explored the experiences of nurses of caring for GDM patients.Methods: This study was a phenomenological approach qualitative research. Participants were 10 nurses who provide care for pregnant women with GDM selected by purposive sampling technique with sampling criteria. Data analysis used the Colaizzi method.Results: There were five categories, e.g. empathy, inspiration to find ways to treat patients very well, feeling of ambivalence, self-preservation to develop potential, and the impact on the nurses of caring for GDM.Conclusion: Sustaining the nursing workforce and improving their working experiences are essential to meet the care needs of pregnant women with GDM. Nurses should understand to promote empathy, and there is a need to improve the job satisfaction and morale of nurses. At the institutional level, policy makers should make efforts to improve the nursing clinical practice environment, increase the nursing management role, the maternity nursing education and training, achieve a proper skill mix of the health workforce, and, overall, attract, prepare and sustain nurses regarding caring for pregnant women with high risk GDM.


2021 ◽  
Vol 22 (1) ◽  
pp. 21-31
Author(s):  
E.A. Muzyko ◽  
◽  
L.I. Laschenova ◽  
G.A. Tkacheva ◽  
V.N. Perfilova ◽  
...  

Trace elements take part in the implementation of the most important metabolic processes of the body. Violation of trace element homeostasis during pregnancy leads to the formation of various pathologies. Deficiency of zinc, manganese, selenium and cobalt, high or low copper content in the blood of a pregnant woman increases the risk of developing preeclampsia, anemia and miscarriages. А low boron content is observed with gestational diabetes mellitus and chronic arterial hypertension in pregnant women. Cobalt deficiency is associated with an increased risk of premature birth, the development of iron deficiency anemia, and arterial hypertension during gestation. A sufficient amount of molybdenum is necessary for the onset of pregnancy, its lack leads to a change in carbohydrate metabolism, the formation of xanthine stones, the occurrence of nausea, anemia and caries in pregnant women. Nickel deficiency leads to the development of iron deficiency anemia and impairment of reproductive function, and its excess can contribute to the formation of gestational diabetes mellitus. The addition of trivalent chromium to the diet of women with polycystic ovary syndrome increases the likelihood of pregnancy, and an excess of its hexavalent form positively correlates with the risk of developing preeclampsia and premature rupture of membranes. The increased consumption of Ni, Cr6+ and F has an adverse effect on the health of the pregnant woman. To fully understand the role of trace elements in ensuring maternal health and the proper development of the fetus, further studies of their concentrations and control values in amniotic fluid, maternal serum and umbilical cord blood during pregnancy are needed to determine the optimal level of supplementation and to quickly diagnose maternal and embryonic mineral metabolic disorders.


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