Effect of postpartum self -Instructional Booklet on Attenuating Type 2 Diabetes among Gestational Diabetic Mothers
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Pregnant women who developed gestational diabetes mellitus (GDM) have future risk of type 2 diabetes mellitus (T2DM). Despite this window of opportunity, few interventions studied have targeted postpartum women with history of GDM. Aim of the study was to investigate the effect of postpartum self - instructional booklet on attenuating type 2 diabetes among gestational diabetes mothers. A quasi-experimental research design was used. A purposive sample technique was used to recruit 124 postpartum women with prior history of GDM. Setting, the present study conducted at postnatal units on maternity university hospital and postpartum women homes. Four tools of data collection were used; 1 st Self-administered questionnaire, 2 ndAnthropometric measurements, 3rd International Physical Activity Questionnaire short form and 4 thFood Consumption Frequency Questionnaire (FCFQ). Results: there was a highly statistically significant improvement on intervention group knowledge, moderate & vigorous activity, adherence to dietary source of energy, and glucose control after intervention by 6 months and 12 months. In addition, there was reduction on BMI of postpartum women in intervention group more than 5-10%. Furthermore, 89.7% of the studied postpartum women in intervention had exclusive breastfeeding compared to 75.8% of the studied postpartum women in control group. Moreover, 93.1% of the studied postpartum women in intervention had a continuation of breastfeeding for 12 months versus 60.6% of the studied postpartum women in control group. Conclusion: postpartum self-instruction booklet has positive effect on attenuating type 2 diabetes among gestational diabetes mothers. Recommendation: utilization of postpartum self-instruction booklet on postpartum units for women with prior history of GDM.
Authors and Affiliations
Randa Mohmed Ebrahim, Hanan Fawzy Abbas, Hala Mohamedmohamed, Hisham Mahmoud
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