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| Effect of intensive comprehensive intervention on pregnant outcomes of pregnant women with gestational diabetes mellitus when early pregnant stage |
| 1. Graduate school of Xuzhou Medical University, Xuzhou, Jiangsu, 221000; 2. The First People’s Hospital of Lianyungang City; 3. The Hospital Affiliated to Xuzhou Medical University |
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Abstract Objective: To explore clinical value of intensive comprehensive intervention on pregnant outcomes of pregnant women with gestational diabetes mellitus (GDM) when early pregnant stage. Method: A total of 120 pregnant women with GDM at 24-28 gestation weeks who admitted to the first people’s hospital of Lianyungang city from January 2016 to July 2017 were enrolled, and were randomly assigned to common intervention group (n=50) or early intervention group (n=70). The pregnant women in early intervention group had received intervention from starting pregnancy examination in early pregnancy stage, which included regular monitoring of blood glucose, diet control, exercise guidance and insulin therapy. The gestational weeks when labor and pregnant outcomes of maternal and child were compared between the two groups. Results: The gestational weeks when labor of women in early intervention group (39.5±0.8 weeks) was significant longer than that of women in common intervention group (38.2±1.3 weeks), and the rates of complication of maternal and child in early intervention group (4.3%, 5.7%) were much lower than those (16.0%, 18.0%) in early intervention group (P<0.05). Conclusion: Intensive comprehensive intervention can greatly improve maternal and child outcomes of pregnant women with GDM.
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