Effect of Lifestyle Counseling for Women with Gestational Diabetes on Fetal and Maternal Outcomes at Assiut University

Year : 2023 | Volume :01 | Issue : 02 | Page : 21-35
By

    Nagah F. Mohamed

  1. Mervat A. Mahmoud

  2. Ghadah Abdelraham

  3. Tarek Abd Elrady

  4. Amany Aly Ahmed

  1. Nursing Specialist, Ministry of Health, Assiut University, , Egypt
  2. Professor, Ministry of Health, Assiut University, , Egypt
  3. Professor, Ministry of Health, Assiut University, , Egypt
  4. Professor, Ministry of Health, Assiut University, , Egypt

Abstract

Gestational diabetes mellitus is a serious and often ignored risk to the health of mothers and children. Aim of the Study: To assess the effect of lifestyle counseling among women with gestational diabetes on fetal and maternal outcomes at Assiut University. Materials and Method: Antenatal care clinics hosted a pre-test and post-test for a quasi-experimental study. Sample: A total of 365 women in total attended antenatal care clinics. Setting of Study: The study was carried out at the Woman’s Health Hospital at Assiut University and the antenatal care clinics in Assiut City, which serve the western area. Tools: Two instruments: a follow-up sheet and a structured interviewing questionnaire. Results: Blood sugar measurement and workout practice differed statistically significantly (P value = 0.000). Conclusion: The outcomes for mother and fetus with gestational diabetes were improved by lifestyle counseling. Recommendations: Women who are at risk of gestational diabetes mellitus should receive public education through the media to help prevent or lessen the difficulties that come with it for both mothers and newborns.

Keywords: gestational diabetes mellitus (GDM), lifestyle, pregnancy outcomes, fetus

[This article belongs to International Journal of Women’s Health Nursing And Practices(ijwhnp)]

How to cite this article: Nagah F. Mohamed, Mervat A. Mahmoud, Ghadah Abdelraham, Tarek Abd Elrady, Amany Aly Ahmed.Effect of Lifestyle Counseling for Women with Gestational Diabetes on Fetal and Maternal Outcomes at Assiut University.International Journal of Women’s Health Nursing And Practices.2023; 01(02):21-35.
How to cite this URL: Nagah F. Mohamed, Mervat A. Mahmoud, Ghadah Abdelraham, Tarek Abd Elrady, Amany Aly Ahmed , Effect of Lifestyle Counseling for Women with Gestational Diabetes on Fetal and Maternal Outcomes at Assiut University ijwhnp 2023 {cited 2023 Nov 28};01:21-35. Available from: https://journals.stmjournals.com/ijwhnp/article=2023/view=127383


References

  1. Zhang J, Ma S, Guo C, Long S, Wu S, Tan H. Research progress on etiology of gestational diabetes mellitus. Global Health J. 2018; 2 (4): 19–27.
  2. Kunasegaran T, Balasubramaniam VR, Arasoo VJT, Palanisamy UD, Ramadas A. Gestational diabetes mellitus in Southeast Asia: a scoping review. Int J Environ Res Public Health. 2021; 18 (3): 1272.
  3. Minschart C, Amuli K, Delameillieure A, Calewaert P, Mathieu C, Benhalima K. Multidisciplinary group education for gestational diabetes mellitus: a prospective observational cohort study. J Clin Med. 2020; 9 (2): 509.
  4. Mdoe MB. Prevalence and Predictors of Gestational Diabetes Mellitus Among Pregnant Women Attending Antenatal Clinic in Dodoma Region, Tanzania. Doctoral Dissertation. Dodoma, Tanzania; The University of Dodoma; 2018.
  5. Wahabi H, Fayed A, Tunkar SM, Bakhsh H, Al-Hazmi AM, Esmaeil S, Siddiqui AR. Incidence and contributing factors of glucose intolerance in Saudi postpartum women: sub-group analysis from RAHMA study. PLoS One. 2019; 14 (1): e0210024.
  6. Egan AM, Dow ML, Vella A. A review of the pathophysiology and management of diabetes in pregnancy. Mayo Clin Proc. 2020; 95 (12): 2734–2746.
  7. Salem ML, Zeid WA, Ismail MA. Prevalence and predictors of gestational diabetes mellitus among pregnant women attending Fanara Family Center, in Egypt. Suez Canal Univ Med J. 2019; 22 (1): 64–72.
  8. Ministry of Health. (2020). Health and family welfare statistics in India 2019-20. [Online] Available online at: https://main.mohfw.gov.in/sites/default/files/HealthandFamilyWelfarestatisticsinIndia
    pdf.
  9. George G, Sasikala T, Chidambaran R. A study to assess the knowledge regarding gestational diabetes mellitus among pregnant mothers and self care practice of gestational diabetes mellitus management among mothers with diabetes in pregnancy attending selected hospitals of Kottayam district. Medico Legal Update. 2021; 21 (2): 539–542.
  10. Feig DS, Berger H, Donovan L, Godbout A, Kader T, Keely E, Sanghera R. Erratum to “Diabetes and Pregnancy”: Canadian Journal of Diabetes 2018; 42 (S1): S255–S282. Can J Diabetes. 2018; 42 (3): 337.
  11. Al-Youbi GM, Elsaid T. Knowledge, attitude, and practices on exercise among pregnant females attending Al-Wazarat Health Center, Riyadh, Saudi Arabia. J Family Med Primary Care. 2020; 9 (8): 3905.
  12. Gharachourlo M, Mahmoodi Z, Kamrani MA, Tehranizadeh M, Kabir K. The effect of a health literacy approach to counselling on the lifestyle of women with gestational diabetes: a clinical trial. F1000Res. 2018; 7: 282.
  13. Mitric C, Desilets J, Brown RN. Recent advances in the antepartum management of diabetes. F1000Res. 2019; 8: F1000 Faculty Rev-622.
  14. Trout KK. Managing the sugar blues: putting the latest gestational diabetes mellitus guidelines into practice. Women’s Healthc. 2019; March: 37–43.
  15. Ogbunugafor C, Nanyunja I. Nursing Interventions in the Management of Gestational Diabetes in Prenatal Care Patients. Bachelor’s Thesis. Vanta, Finland: Laurea University of Applied Sciences; 2018.
  16. Whalen KL, Taylor JR. gestational diabetes mellitus. In: Murphy JE, Lee M, editors. Pharmacotherapy Sel-assessment Program: Book 1, Endocrine/Nephrology. Lenexa, KS, USA: American College of Clinical Pharmacy; 2017. pp. 7–23.
  17. Reitzle L, Schmidt C, Heidemann C, Icks A, Kaltheuner M, Ziese T, Scheidt-Nave C. Gestational diabetes in Germany: development of screening participation and prevalence. J Health Monit. 2021; 6 (2): 3–18.
  18. El-Nagar AE, Ahmed MH, Abo-Freikha A, El Welely MZ. Effect of implementation of health educational guidelines on maternal and neonatal outcomes among women with gestational diabetes mellitus. Tanta Sci Nurs J. 2019; 17 (2): 148–182.
  19. Huvinen HE. The Heterogeneity of Gestational Diabetes and Long-term Effects of Lifestyle Intervention among High-risk Women. Doctoral Dissertation. Helsinki, Finland: Helsinki University Hospital, University of Helsinki; 2018.
  20. Muche AA, Olayemi OO, Gete YK. Prevalence of gestational diabetes mellitus and associated factors among women attending antenatal care at Gondar town public health facilities, Northwest Ethiopia. BMC Pregnancy Childbirth. 2019; 19 (1): 334.
  21. Panigrahi A, Panda J. Gestational diabetes mellitus, its associated factors, and the pregnancy outcomes among pregnant women attending tertiary care hospitals of Bhubaneswar, India. Int J Diabetes Developing Countries. 2020; 40: 371–378.
  22. Khalil NA, Fathy WM, Mahmoud NS. Screening for gestational diabetes among pregnant women attending a rural family health center, Menoufia governorate, Egypt. J Fam Med Health Care. 2017; 3 (1): 6–11.
  23. Atkinson L, Teychenne M. Psychological, social and behaviour changes during pregnancy: implications for physical activity and exercise. In: Santos-Rocha R, editor. Exercise and Sporting Activity During Pregnancy: Evidence-Based Guidelines. Cham, Switzerland: Springer. pp. 19–43.
  24. Mohamed SH, Ahmed AA. Educational program for health literacy among pregnant women with gestational diabetes: its effect on maternal and fetal outcomes. Int J Nurs Didactics. 2019; 9 (4): 61–72.
  25. Said AR, Aly FK. Effect of the educational package based on health belief model regarding lifestyle among women with gestational diabetes mellitus. J Nurs Health Sci. 2019; 5 (1): 25.
  26. Makwana M, Bhimwal RK, Ram C, Mathur SL, Lal K, Mourya H. Gestational diabetes mellitus with its maternal and foetal outcome: a clinical study. Int J Adv Med. 2017; 4 (4): 919–925.
  27. El Sagheer GM, Hamdi L. Prevalence and risk factors for gestational diabetes mellitus according to the diabetes in pregnancy study group India in comparison to International Association of the Diabetes and Pregnancy Study Groups in El-Minya, Egypt. Egypt J Intern Med. 2018; 30 (3): 131.
  28. El Toony LF, Khalifa WA, Ghazaly OM. Assessing the effectiveness of an educational program for patients with gestational diabetes in Assiut University. Egypt J Obes Diabetes Endocrinol. 2018; 4 (1): 17.
  29. Kusemwa P, Mukona DM, Zvinavashe M, Dodzo LG, Makoni P. Knowledge of gestational diabetes mellitus and self care practices in pregnancy. EC Diabetes Metab Res. 2018; 2: 2.
  30. Price LA, Lock LJ, Archer LE, Ahmed Z. Awareness of gestational diabetes and its risk factors among pregnant women in Samoa. Hawai’i J Med Public Health. 2017; 76 (2): 48–54.
  31. Liu J, Xie X, Guo Y. Effects of health education intervention at gestation period on pregnancy outcome of diabetes mellitus patients. Biomed Res. 2017; 28 (18): 7950–7954.
  32. Larebo YM, Ermolo NA. Prevalence and risk factors of gestational diabetes mellitus among women attending antenatal care in Hadiya Zone Public Hospitals, Southern Nation Nationality People Region. BioMed Res Int. 2021; 2021: 5564668. doi: 10.1155/2021/5564668.

Regular Issue Subscription Original Research
Volume 01
Issue 02
Received October 5, 2023
Accepted October 27, 2023
Published November 28, 2023