A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Management of Gestational Diabetes Mellitus among Pregnant Women Attending Maternity Hospital SKIMS, Soura, Srinagar, Kashmir

2019 ◽  
Vol 6 (1) ◽  
pp. 17-22
Author(s):  
Nasiya Wani ◽  
2019 ◽  
Vol 13 (5) ◽  
pp. 1202
Author(s):  
Alexandre Lins Werneck ◽  
Isadora Salani De Queiros ◽  
Daniela Comelis Bertolin

RESUMO:Objetivo: descrever as principais complicações e doenças pré-existentes em gestantes com Diabetes Mellitus Gestacional. Método: trata-se de estudo quantitativo, analítico, transversal. Compôs-se a amostra do estudo por 591 prontuários de gestantes, sendo 47 com DMG e 544 sem DMG. Realizou-se a coleta de dados em prontuários de um hospital e maternidade. Utilizou-se um instrumento para a coleta dos dados das pacientes. Analisaram-se os dados por meio de estatística descritiva em sua predominância e apresentaram-se os resultados em forma de tabelas. Resultados: selecionaram-se 47 prontuários de gestantes com Diabetes Mellitus Gestacional. Mostrou-se, que 38,71% tinham hipertensão arterial como doença já existente e 10,07% tinham dor em baixo ventre como principal complicação. Conclusão: observou-se que as principais complicações na amostra de gestantes com Diabetes Mellitus Gestacional são dor em baixo ventre, doença hipertensiva específica da gravidez, leucorreia, cefaleia, infecção do trato urinário e dispneia; em relação às doenças já existentes, a hipertensão arterial foi a doença que mais prevaleceu nas gestantes antes mesmo da gestação, seguida de tabagismo, hipotireoidismo, asma e hepatite C. Descritores: Diabetes Gestacional; Doenças; Gravidez de Alto Risco; Gestantes; Complicações na Gravidez; Enfermagem; Diabetes Mellitus.ABSTRACT Objective: to describe the main complications and preexisting diseases in pregnant women with Gestational Diabetes Mellitus. Method: this is a quantitative, analytical, cross-sectional study. The study sample was composed of 591 records of pregnant women, 47 of whom had GDM and 544 without GDM. Data were collected in medical records of a hospital and maternity hospital. An instrument was used to collect patient data. The data were analyzed by means of descriptive statistics in their predominance and the results were presented in the form of tables. Results: 47 charts of pregnant women with Gestational Diabetes Mellitus were selected. It was shown that 38.71% had arterial hypertension as an existing disease and 10.07% had lower belly pain as the main complication. Conclusion: it was observed that the main complications in the sample of pregnant women with Gestational Diabetes Mellitus are low belly pain, pregnancy-specific hypertensive disease, leukorrhea, headache, urinary tract infection and dyspnea; in relation to existing diseases, arterial hypertension was the most prevalent disease in pregnant women even before pregnancy, followed by smoking, hypothyroidism, asthma and hepatitis C. Descriptors: Gestational Diabetes; Diseases; High Risk Pregnancy; Pregnant women; Pregnancy Complications; Nursing; Diabetes Mellitus.RESUMEN Objetivo: describir las principales complicaciones y enfermedades preexistentes en mujeres embarazadas con Diabetes Mellitus Gestacional. Método: se trata de un estudio cuantitativo, analítico, transversal. Se compuso la muestra del estudio por 591 prontuarios de gestantes, siendo 47 con DMG y 544 sin DMG. Se realizó la recolección de datos en prontuarios de un hospital y maternidad. Se utilizó un instrumento para la recolección de los datos de las pacientes. Se analizaron los datos por medio de estadística descriptiva en su predominancia y se presentaron los resultados en forma de tablas. Resultados: se seleccionaron 47 prontuarios de gestantes con Diabetes Mellitus Gestacional. Se mostró, que el 38,71% tenía hipertensión arterial como enfermedad ya existente y el 10,07% tenían dolor en el vientre como principal complicación. Conclusión: se observó que las principales complicaciones en la muestra de gestantes con Diabetes Mellitus Gestacional son dolor en bajo vientre, enfermedad hipertensiva específica del embarazo, leucorrea, cefalea, infección del tracto urinario y disnea; en relación a las enfermedades ya existentes, la hipertensión arterial fue la enfermedad que más prevaleció en las gestantes antes de la gestación, seguida de tabaquismo, hipotiroidismo, asma y hepatitis C. Descriptores: Diabetes Gestacional; Embarazo de Alto Riesgo; Mujeres Embarazadas; Complicaciones del Embarazo; Nursing; Diabetes Mellitus.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Abdelrahim Alqudah ◽  
Paul McMullan ◽  
Anna Todd ◽  
Conor O’Doherty ◽  
Anne McVey ◽  
...  

Abstract Background Pre-gestational and gestational diabetes mellitus are common complications in pregnancy affecting one in six pregnancies. The maternity services are under significant strain managing the increasing number of complex pregnancies. This has an impact on patients’ experience of antenatal care. Therefore, there is a clear need to address pregnancy care. One possible solution is to use home-based digital technology to reduce clinic visits and improve clinical monitoring. Methods The aim of this study was to evaluate the antenatal services provided to pregnant women with diabetes who were monitored at the joint metabolic and obstetric clinic at the Southern Health and Social Care Trust in Northern Ireland. Results The questionnaires were completed by sixty-three women, most of whom had gestational diabetes mellitus. Most of the participants were between 25 and 35 years of age (69.8%), had one or more children (65.1%) and spent over 2 h attending the clinics (63.9%); 78% of women indicated that their travel time to and from the clinic appointment was over 15 min. Over 70% of women used smartphones for health-related purposes. However, only 8.8% used smartphones to manage their health or diabetes. Less than 25% of the women surveyed expressed concerns about using digital technology from home to monitor various aspects of their health in pregnancy. Conclusions Overall, pregnant women who had or developed diabetes in pregnancy experience frequent hospital visits and long waiting times in the maternity clinics. Most of these pregnant women are willing to self-manage their condition from home and to be monitored remotely by the healthcare staff.


2018 ◽  
Author(s):  
George Simeakis ◽  
Evangelia Vogiatzi ◽  
Panagiota Konstantakou ◽  
Evangelia Zapanti ◽  
Katerina Saltiki ◽  
...  

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 86-LB
Author(s):  
TIANGE SUN ◽  
FANHUA MENG ◽  
RUI ZHANG ◽  
ZHIYAN YU ◽  
SHUFEI ZANG ◽  
...  

2020 ◽  
Vol 16 (8) ◽  
pp. 895-899 ◽  
Author(s):  
Shahin Safian ◽  
Farzaneh Esna-Ashari ◽  
Shiva Borzouei

Aims: Investigation thyroid dysfunction and autoimmunity in pregnant women with gestational diabetes mellitus. Background: This article was written to evaluate the thyroid function and anti-thyroid peroxidase (anti- TPO) antibodies in pregnant women with gestational diabetes mellitus (GDM). Method: A total of 252 women with GDM and 252 healthy pregnant women were enrolled. Thyroid tests, including TSH, FreeT3, Free T4, and anti-TPO were performed for all women at 24–28 weeks of gestation. Data analysis was then carried out using SPSS ver. 22. Result: There was a significant difference between the experimental group (38.4%) and the control group (14.06%) in terms of the prevalence of subclinical hypothyroidism (p= 0.016). The frequency of anti-TPO was higher in the experimental group than the control group and positive anti-TPO was observed in 18.6% of women with GDM and 10.3% of healthy pregnant women (P= 0.008). Conclusion: Thyroid disorders are observed in pregnant women with GDM more frequently than healthy individuals and it may be thus reasonable to perform thyroid tests routinely.


Placenta ◽  
2019 ◽  
Vol 83 ◽  
pp. e36
Author(s):  
Thiago PB. De Luccia ◽  
Erika Ono ◽  
Karen PT. Pendeloski ◽  
Eloiza LL. Tanabe ◽  
Ana Lúcia M Silva ◽  
...  

Author(s):  
Nasloon Ali ◽  
Aysha S. Aldhaheri ◽  
Hessa H. Alneyadi ◽  
Maha H. Alazeezi ◽  
Sara S. Al Dhaheri ◽  
...  

Gestational diabetes mellitus (GDM) increases the risk of adverse pregnancy outcomes in any pregnancy and recurrence rates are high in future pregnancies. This study aims to investigate the effect of self-reported history of previous GDM on behaviors in a future pregnancy. This is an interim cross-sectional analysis of the pregnant women who participated in the Mutaba’ah Study between May 2017 and March 2020 in the United Arab Emirates. Participants completed a baseline self-administered questionnaire on sociodemographic and pregnancy-related information about the current pregnancy and previous pregnancies. Regression models assessed the relationships between self-reported history of GDM and pre-pregnancy and pregnancy behaviors in the current pregnancy. Out of 5738 pregnant parous women included in this analysis, nearly 30% (n = 1684) reported a history of GDM in a previous pregnancy. Women with a history of previous GDM were less likely to plan their current pregnancies (adjusted odds ratio (aOR): 0.84, 95% confidence interval (CI) 0.74–0.96) and more likely to be worried about childbirth (aOR: 1.18, 95% CI 1.03–1.36). They had shorter interpregnancy intervals between their previous child and current pregnancy (aOR: 0.88, 95% CI 0.82–0.94, per SD increase). There were no significant differences between women with and without a history of GDM in supplement use, sedentary behavior, or physical activity before and during this current pregnancy. Nearly a third of parous pregnant women in this population had a history of GDM in a previous pregnancy. Pregnant women with a previous history of GDM were similar to their counterparts with no history of GDM in the adopted pre-pregnancy and prenatal health behaviors. More intensive and long-term lifestyle counseling, possibly supported by e-health and social media materials, might be required to empower pregnant women with a history of GDM. This may assist in adopting and maintaining healthy prenatal behaviors early during the pregnancy or the preconception phase to minimize the risk of GDM recurrence and the consequential adverse maternal and infant health outcomes.


2021 ◽  
Vol 517 ◽  
pp. 139-148
Author(s):  
Yaqiong Zhan ◽  
Jiali Wang ◽  
Xiaoying He ◽  
Mingzhu Huang ◽  
Xi Yang ◽  
...  

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