Impact of Designed Teaching Program for Pregnant Women with Gestational Diabetes on Maternal outcomes

Abstract

Background: Gestational diabetes mellitus (GDM) was defined as any degree of glucose intolerance with an onset or first recognition during pregnancy. Aim of this research: was to examine the impact of designed teaching program for pregnant women with gestational diabetes on maternal outcomes. Subjects & Methods:- Design: quasi experimental pre-post one group design was utilized for the current study. Setting: The study was carried out at Antenatal outpatient clinic at El-Manial Obstetrics and Gynecology Hospital. Sample: A convenient sample of 100 gestational diabetic women was recruited for the study. Data collection: different tools were used to collect the data; (1) Structured Interviewing Schedule; (2) Physical assessment sheet; (3) Pretest for assessing knowledge; (4) Follow up tool to asses women's compliance to the given instructions; (5) Post test for assessing knowledge, and Post partum questionnaire. Results: revealed that, the mean post-test knowledge score (18.45) was significantly higher than the mean pre-test knowledge score, there was weak positive relationship between the mean post-test knowledge score and maternal compliance to the given instructions (r = 0.304), no statistically significant relationship were found in relation to post test knowledge score and blood glucose level in the current pregnancy (P=0.37), Moreover, there was high statistically significant relationship between the mean posttest knowledge score and mode of the current delivery (P =0.016). All over there was high statistically significant relationship between post-test knowledge score and maternal outcomes  (P < 0.001). In conclusion:  participating of designed teaching program for gestational diabetic women lead to increase knowledge score about the disease and increase women's awareness of how to decrease its complications. This research recommended that: Raise pregnant mother's awareness regarding Gestational Diabetes Mellitus, definition, diagnosis, symptoms and signs , frequency of antenatal visits, and ways to adopting healthy life style as follow dietary program and practice exercises.

Keywords: Gestational Diabetes Mellitus, Women compliance, , Postpartum questionnaire