Effect of a new self-care guide package on maternal and neonatal outcomes in gestational diabetes: A randomized control trial

Journal of Diabetes
Mitra KolivandMohammad Hassan Emamian

Abstract

The aim of this study was to determine the effect of a new self-care guide package on gestational diabetes mellitus (GDM). This randomized clinical trial was conducted on 152 women with GDM. The intervention group was provided with the self-care guide package and three face-to-face educational sessions. The control group received routine clinical services, including physician visits and short training regarding nutrition, blood glucose control, and insulin injections. The primary outcomes were fasting and 2-h postprandial blood glucose and self-efficacy measured at the beginning of the study and 1 month after the end of the intervention. Secondary outcomes included Apgar scores, birth weight, type of delivery, and newborn hospitalization. Data were analyzed using t-tests, as well as Mann-Whitney, Chi-squared, and linear and logistic regression tests. The mean (±SD) self-efficacy score was higher in the intervention than control group (74.4 ± 7.0 vs 36.4 ± 5.2, respectively; P < 0.001). There was no significant difference in mean fasting plasma glucose between the two groups (P = 0.163), but mean 2-h postprandial plasma glucose was lower in the intervention than control group (105.1 ± 17.6 vs 127.2 ± 20.4 mg/dL, respectively; P ...Continue Reading

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Jun 5, 2018·Iranian Journal of Nursing and Midwifery Research·Mitra KolivandMohammadHassan Emamian

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