H Alayoub1, S Curran2, M Coffey3, M Hatunic4, M Higgins5. 1. UCD School of Medicine, Dublin 2, Ireland. 2. Clinical Nutrition & Dietetics, National Maternity Hospital, Dublin 2, Ireland. 3. Midwifery, National Maternity Hospital, Dublin 2, Ireland. 4. Endocrinology, Mater Misercordiae Hospital, Dublin 2, Ireland. 5. UCD Obstetrics and Gynaecology, School of Medicine, National Maternity Hospital, University College Dublin, Holles Street, Dublin 2, Ireland. mary.higgins@ucd.ie.
Abstract
BACKGROUND: Gestational diabetes mellitus (GDM) is identified in pregnancy and resolves following delivery. It increases maternal and foetal morbidity and may increase risk of future type 2 diabetes. Women diagnosed with GDM need high-quality multidisciplinary education in order to apply necessary changes to their diet and lifestyle. There is a paucity of information on the effectiveness of group education for women with GDM. AIMS: The aim of this study was to assess the effect of a multidisciplinary group intervention delivered by a specialist midwife and dietitian on women's knowledge of GDM. METHODS: All women with a diagnosis of GDM were invited to attend a multidisciplinary group educational session on lifestyle and GDM management. Participants were invited to complete a questionnaire before and after the educational intervention; only individuals who completed both questionnaires were included. The questionnaire reviewed knowledge of suitable diet, implications of GDM diagnosis and management of GDM. RESULTS: A total of 716 women completed both questionnaires; mean age of the participants was 34 years. Just under half of women (46.9%, n = 333) were primiparous. The majority of the women (62.5%, n = 439) were Irish; 53.4% (n = 382) had a family history of diabetes. There was a significant increase in median score for knowledge following the educational intervention (pre-intervention score 8 (-2-12); post-intervention score 12 (1-12); p < 0.001). CONCLUSIONS: This study demonstrates the benefit of a multidisciplinary group educational session delivered by a specialized midwife and a dietitian on pregnant women's knowledge and understanding of GDM.
BACKGROUND:Gestational diabetes mellitus (GDM) is identified in pregnancy and resolves following delivery. It increases maternal and foetal morbidity and may increase risk of future type 2 diabetes. Women diagnosed with GDM need high-quality multidisciplinary education in order to apply necessary changes to their diet and lifestyle. There is a paucity of information on the effectiveness of group education for women with GDM. AIMS: The aim of this study was to assess the effect of a multidisciplinary group intervention delivered by a specialist midwife and dietitian on women's knowledge of GDM. METHODS: All women with a diagnosis of GDM were invited to attend a multidisciplinary group educational session on lifestyle and GDM management. Participants were invited to complete a questionnaire before and after the educational intervention; only individuals who completed both questionnaires were included. The questionnaire reviewed knowledge of suitable diet, implications of GDM diagnosis and management of GDM. RESULTS: A total of 716 women completed both questionnaires; mean age of the participants was 34 years. Just under half of women (46.9%, n = 333) were primiparous. The majority of the women (62.5%, n = 439) were Irish; 53.4% (n = 382) had a family history of diabetes. There was a significant increase in median score for knowledge following the educational intervention (pre-intervention score 8 (-2-12); post-intervention score 12 (1-12); p < 0.001). CONCLUSIONS: This study demonstrates the benefit of a multidisciplinary group educational session delivered by a specialized midwife and a dietitian on pregnant women's knowledge and understanding of GDM.
Authors: Boyd E Metzger; Steven G Gabbe; Bengt Persson; Thomas A Buchanan; Patrick A Catalano; Peter Damm; Alan R Dyer; Alberto de Leiva; Moshe Hod; John L Kitzmiler; Lynn P Lowe; H David McIntyre; Jeremy J N Oats; Yasue Omori; Maria Ines Schmidt Journal: Diabetes Care Date: 2010-03 Impact factor: 17.152
Authors: Caroline A Crowther; Janet E Hiller; John R Moss; Andrew J McPhee; William S Jeffries; Jeffrey S Robinson Journal: N Engl J Med Date: 2005-06-12 Impact factor: 91.245
Authors: Judith A Bernstein; Lois McCloskey; Christina M Gebel; Ronald E Iverson; Aviva Lee-Parritz Journal: BMJ Open Diabetes Res Care Date: 2016-06-17
Authors: Niamh Keating; Kirsten Carpenter; Kelsey McCarthy; Ciara Coveney; Fionnuala McAuliffe; Rhona Mahony; Jennifer Walsh; Mensud Hatunic; Mary Higgins Journal: Int J Environ Res Public Health Date: 2022-02-08 Impact factor: 3.390
Authors: Emilyn U Alejandro; Therriz P Mamerto; Grace Chung; Adrian Villavieja; Nawirah Lumna Gaus; Elizabeth Morgan; Maria Ruth B Pineda-Cortel Journal: Int J Mol Sci Date: 2020-07-15 Impact factor: 5.923