scholarly journals The Relationship between Acceptance of Illness and Quality of Life in Mothers with Gestational Diabetes Mellitus

Author(s):  
Tahereh Alidoost Balas Baneh ◽  
Homa Mosaffay Khomami ◽  
Leila Mirhadian ◽  
Zahra Atrkarroushan

Introduction: Study on quality of life and acceptance of the illness plays a significant role in the health of pregnant women, especially pregnant women with gestational diabetes mellitus. The aim of this study was to determine the relationship between the acceptance of illness and quality of life in mothers with gestational diabetes mellitus. Methods: This descriptive-analytical study was performed on 150 mothers with gestational diabetes mellitus referred to Al-Zahra Hospital of Rasht, Iran, using available sampling method. Data were collected by a demographic information checklist and 36-Item Short Form Health Survey questionnaire (SF-36) in two dimensions, physical and mental health. Data were analyzed by SPSS 20 software and using chi-squared, Fisher's exact, and Mantel-Haenszel tests. Results: Among the mothers, 37.3% accepted the illness and 62.7% did not. There was a significant relationship between the quality of life status or score and the gestational age (p = 0.019), surgical history (p = 0.005), number of operations (p = 0.002) and previous history of diabetes in previous pregnancies (p = 0.037). However, with the control of individual and social variables, Mantel-Haenszel test did not show significant relationship between acceptance of illness and the quality of life of the mothers. On the other hand, the relationship between acceptance of illness and quality of life was not significant, based on χ2 test. Conclusion: It is suggested that training classes be held before and during pregnancy for mothers at the reproductive age so that they have the readiness and knowledge to deal with the disease properly.

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Ebtesam EL Sayed Shama ◽  
Nadra Mohamed Ibrahiem ◽  
Amal Roshdi Ahmed ◽  
Amany El-berdan ◽  
Eman El-Sherbeny

2009 ◽  
pp. 73-86
Author(s):  
Renata Tambelli ◽  
Manuela Errante

- In this review are discussed the main researches about high-risk pregnancy and, particularly, gestational diabetes mellitus (GDM). The results of these researches highlight that pregnant women with GDM are extremely vulnerable, anxious and worried. However there are not many clinical studies about the effect of GDM on the quality of mother-child relationship.


2019 ◽  
Author(s):  
samira mokhlesi ◽  
masoumeh simbar ◽  
fahimeh ramezani tehrani ◽  
Nourossadat kariman ◽  
hamid alavi majd

Abstract Background Gestational diabetes mellitus carries serious risks to mother and fetus and causes social, mental, and psychological consequences which can affect mothers’ quality of life. Accordingly, this study aims to develop and assess the psychometric properties of quality of life questionnaire for women with gestational diabetes mellitus. Methods A methodological study of sequential exploratory mixed method was developed and implemented. It included qualitative (development of a quality of life questionnaire for mothers with GDM) and quantitative (assessment of psychometric prosperities of quality of life questionnaire for mothers with GDM) phases. Results Based on the findings of the qualitative phase and literature review, the primary questionnaire was prepared with 142 items. The outcome of face validity and content validity assessment was a 67-item questionnaire. S-CVI and S-CVR turned out to be 0.92 and 0.68, respectively. The results of exploratory factor analysis yielded an instrument with 36 items in five domains including concerns about high-risk pregnancy, perceived constraints, disease complications, medication and treatment, and support. Five factors explained 46.68% of the total variance of the questionnaire. The results indicated a moderate and significant correlation between the questionnaire of “Diabetes Clients Quality Of Life” and the researcher-made questionnaire (r=0.63). Cronbach’s alpha coefficient for the entire scale was 0.93 and the intra-class correlation coefficient was 0.95. Conclusion Quality of life questionnaire for mothers with GDM is a valid and reliable tool capable of measuring the quality of life of women with GDM.


2019 ◽  
Vol 28 (5) ◽  
pp. 1349-1354 ◽  
Author(s):  
Kyriakos A. Pantzartzis ◽  
Philip P. Manolopoulos ◽  
Stavroula A. Paschou ◽  
Kyriakos Kazakos ◽  
Kalliopi Kotsa ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Daniela Marchetti ◽  
Danilo Carrozzino ◽  
Federica Fraticelli ◽  
Mario Fulcheri ◽  
Ester Vitacolonna

Background and Objective. Diagnosis of Gestational Diabetes Mellitus (GDM) could significantly increase the likelihood of health problems concerning both potential risks for the mother, fetus, and child’s development and negative effects on maternal mental health above all in terms of a diminished Quality of Life (QoL). The current systematic review study is aimed at further contributing to an advancement of knowledge about the clinical link between GDM and QoL. Methods. According to PRISMA guidelines, PubMed, Web of Science, Scopus, and Cochrane databases were searched for studies aimed at evaluating and/or improving levels of QoL in women diagnosed with GDM. Results. Fifteen research studies were identified and qualitatively analyzed by summarizing results according to the following two topics: GDM and QoL and interventions on QoL in patients with GDM. Studies showed that, in women with GDM, QoL is significantly worse in both the short term and long term. However, improvements on QoL can be achieved through different intervention programs by enhancing positive diabetes-related self-management behaviors. Conclusion. Future studies are strongly recommended to further examine the impact of integrative programs, including telemedicine and educational interventions, on QoL of GDM patients by promoting their illness acceptance and healthy lifestyle behaviors.


2019 ◽  
Author(s):  
samira mokhlesi ◽  
masoumeh simbar ◽  
fahimeh ramezani tehrani ◽  
Nourossadat kariman ◽  
hamid alavi majd

Abstract Background Gestational diabetes mellitus carries serious risks to mother and fetus and causes social, mental, and psychological consequences which can affect mothers’ quality of life. Accordingly, this study aims to develop and assess the psychometric properties of quality of life questionnaire for women with gestational diabetes mellitus. Methods A methodological study of sequential exploratory mixed method was developed and implemented. It included qualitative (development of a quality of life questionnaire for mothers with GDM) and quantitative (assessment of psychometric prosperities of quality of life questionnaire for mothers with GDM) phases. Results Based on the findings of the qualitative phase and literature review, the primary questionnaire was prepared with 142 items. The outcome of face validity and content validity assessment was a 67-item questionnaire. S-CVI and S-CVR turned out to be 0.92 and 0.68, respectively. The results of exploratory factor analysis yielded an instrument with 36 items in five domains including concerns about high-risk pregnancy, perceived constraints, disease complications, medication and treatment, and support. Five factors explained 46.68% of the total variance of the questionnaire. The results indicated a moderate and significant correlation between the questionnaire of “Diabetes Clients Quality Of Life” and the researcher-made questionnaire (r=0.63). Cronbach’s alpha coefficient for the entire scale was 0.93 and the intra-class correlation coefficient was 0.95. Conclusion Quality of life questionnaire for mothers with GDM is a valid and reliable tool capable of measuring the quality of life of women with GDM.


Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 337-343
Author(s):  
Manoharan Renugasundari ◽  
Pal GopalKrushna ◽  
Latha Chaturvedula ◽  
Nivedita Nanda ◽  
K. T. Harichandrakumar ◽  
...  

Introduction and Aim: Gestational diabetes mellitus (GDM), which is defined as diabetes diagnosed in the second and third trimesters of pregnancy, has emerged as a global public health concern. It has been associated with short-term and long-term adverse health outcomes for both mothers and their new-borns. Women with GDM are known to have decreased quality of life and increased risks of caesarean section, gestational hypertension, preeclampsia, and type 2 diabetes. In babies, GDM has been found to be associated with macrosomia or larger than normal gestational-aged infants, neonatal hypoglycemia, and type 2 diabetes mellitus later in life. Though yoga is known to improve the quality of life of diabetic patients, its role in the management of GDM has not been adequately assessed. Therefore, the present study was conducted to evaluate the effectiveness of Yoga on cardiometabolic parameters, psychophysical health and maternal and fetal outcomes in GDM patients at JIPMER hospital, Puducherry.   Methods: Fifteen pregnant women diagnosed to have GDM, admitted to Obstetrics Ward of JIPMER Hospital were recruited for the study. The intervention package of a thirty minutes Yoga module consisting of Sukshma Vyayama (2 min), Tadasana (1 min), Utthitapadasana (1 min),  Savasana in the left lateral posture (3 min), Nadisodhana or Anuloma-viloma pranayama (5 min), Chandranadi pranayama (5 min), Sheetali pranayama (5 min) and Bhramari pranayama (5 min) and Relaxation (3 min) was administered along with hospital routine treatment for 10 days during 35th/36th week (depending on the gestational week of admission to hospital), or until delivery. Cardiometabolic parameters including heart rate (HR), blood pressure (BP), rate pressure product (RPP) and glycemic status assessed by random blood sugar (RBS) were investigated. JIPMER hospital tool for the maternal and fetal outcome variables were used to assess the feto-maternal parameters. Perceived Stress Score (PSS) and Quality of Life Score (QoL) were used to assess the psychophysical health of the GDM patients. All the parameters were assessed before and after yoga intervention. Paired t test was used for statistical analysis of data. P value of <0.05 were considered to indicate significant statistical difference. Results: Statistically significant decrease in HR, BP, RPP, RBS, PSS, and increase in QoL, and improvement of fetomaternal outcomes (based on the normative data available in the department) were observed in GDM patients after yoga intervention for a period of seven to ten days during their hospital stay. Conclusion: A short-course yoga practice for 7-10 days is adequate to reduce cardiometabolic risks, psychological stress, and improve quality of life and feto-maternal outcomes in GDM patients.  Antenatal mother with GDM can use yoga as an adjunct therapy in the later part of pregnancy to prevent or reduce the complications and to improve the maternal and fetal outcomes of gestational diabetes mellitus.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Chao-Yan Yue ◽  
Chun-Mei Ying

Abstract Objective Our aim was to evaluate the relationship between serum vitamin D levels before 20 weeks of pregnancy and the risk of gestational diabetes mellitus. Methods This study is a retrospective study. We analyzed the relationship between serum 25 (OH) D level before 20 weeks of pregnancy (first antenatal examination) and the risk of gestational diabetes mellitus. Age, parity and pre-pregnancy body mass index were used as confounding factors. 8468 pregnant women were enrolled in this study between January 2018 and March 2020 at the Obstetrics and Gynecology Hospital of Fudan University. Adjusted smoothing splinespline plots, subgroup analysis and multivariate logistic regression analysis was conducted to estimate the relative risk between 25(OH)D and gestational diabetes mellitus. Results After fully adjusting the confounding factors, serum vitamin D is a protective factor in gestational diabetes mellitus (OR = 0.90). Compared with vitamin D deficiency, vitamin D insufficiency (OR = 0.78), sufficience (OR = 0.82) are a protective factor for gestational diabetes mellitus. Conclusion Sufficience vitamin D before 20 weeks of pregnancy is a protective factor for gestational diabetes mellitus. Vitamin D > 20 ng/mL can reduce the risk of GDM, which is not much different from the effect of > 30 ng/mL. The protective effect of vitamin D is more significant in obese pregnant women.


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