Educational interventions to improvematernal-foetal outcomes inwomen with gestational diabetes

Aims: To evaluate improvement in gestational diabetes (GDM) outcomes for mothers and their offspring induced by education provided to the healthcare team (HCTM) and women with GDM, plus coordination between primary care units (PCU) and highly complex maternity (HCM) facilities. Methods: Pregnant wo...

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Autores principales: Gorban de Lapertosa, Silvia, Elgart, Jorge Federico, González, Claudio D., Alvariñas, Jorge, Camin, Paula, Mezzabotta, Leonardo, Salzberg, Susana, Gagliardino, Juan José
Formato: Articulo
Lenguaje:Inglés
Publicado: 2020
Materias:
Ciencias Médicas
Education
Gestational diabetes
Newborn weight
Postnatal assessment
Pregnancy weight gain
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/118941
Aporte de:
SEDICI (UNLP) de Universidad Nacional de La Plata
id I19-R120-10915-118941
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
Education
Gestational diabetes
Newborn weight
Postnatal assessment
Pregnancy weight gain
spellingShingle Ciencias Médicas
Education
Gestational diabetes
Newborn weight
Postnatal assessment
Pregnancy weight gain
Gorban de Lapertosa, Silvia
Elgart, Jorge Federico
González, Claudio D.
Alvariñas, Jorge
Camin, Paula
Mezzabotta, Leonardo
Salzberg, Susana
Gagliardino, Juan José
Educational interventions to improvematernal-foetal outcomes inwomen with gestational diabetes
topic_facet Ciencias Médicas
Education
Gestational diabetes
Newborn weight
Postnatal assessment
Pregnancy weight gain
description Aims: To evaluate improvement in gestational diabetes (GDM) outcomes for mothers and their offspring induced by education provided to the healthcare team (HCTM) and women with GDM, plus coordination between primary care units (PCU) and highly complex maternity (HCM) facilities. Methods: Pregnant women with GDM completing control visits from first appointment until delivery were recruited in participating PCU‐HCM, in the cities of Corrientes and Buenos Aires; 263 women recruited from 2017 to mid‐2018 were assigned to the control group (CG), and 432 women recruited from mid‐2018 to 2019 to the intervention group (IG). The CG received standardized care/routine management and follow‐up, including basic information on blood glucose monitoring and insulin injection when necessary, whereas the IG received an educational program targeting HCTM and women with GDM. These courses included standards of diagnosis, prevention and treatment of GDM, plus systematic registry of clinical and metabolic indicators (fasting blood glucose, serum cholesterol and triglyceride). Data on obstetric history, preeclampsia, gestation‐induced hypertension, delivery method and newborn's body weight were also recorded. Results: Women in the IG showed significantly (P ≤ 0.05) lower BMI and weight gain during gestation, a trend towards lower triglyceride and caesarean sections and a significant increase in postnatal attendance for metabolic assessment. Their newborns showed significantly lower body weight and a trend towards fewer macrosomia. Conclusions: These data suggest that our educational intervention plus management changes induced a favourable impact on GDM outcomes for both mothers and offspring.
format Articulo
Articulo
author Gorban de Lapertosa, Silvia
Elgart, Jorge Federico
González, Claudio D.
Alvariñas, Jorge
Camin, Paula
Mezzabotta, Leonardo
Salzberg, Susana
Gagliardino, Juan José
author_facet Gorban de Lapertosa, Silvia
Elgart, Jorge Federico
González, Claudio D.
Alvariñas, Jorge
Camin, Paula
Mezzabotta, Leonardo
Salzberg, Susana
Gagliardino, Juan José
author_sort Gorban de Lapertosa, Silvia
title Educational interventions to improvematernal-foetal outcomes inwomen with gestational diabetes
title_short Educational interventions to improvematernal-foetal outcomes inwomen with gestational diabetes
title_full Educational interventions to improvematernal-foetal outcomes inwomen with gestational diabetes
title_fullStr Educational interventions to improvematernal-foetal outcomes inwomen with gestational diabetes
title_full_unstemmed Educational interventions to improvematernal-foetal outcomes inwomen with gestational diabetes
title_sort educational interventions to improvematernal-foetal outcomes inwomen with gestational diabetes
publishDate 2020
url http://sedici.unlp.edu.ar/handle/10915/118941
work_keys_str_mv AT gorbandelapertosasilvia educationalinterventionstoimprovematernalfoetaloutcomesinwomenwithgestationaldiabetes
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