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| Intervention effect of delivery quality of "one to one" whole-course midwifery nursing for pregnant women with gestational diabetes mellitus |
| Fuyang People's Hospital, Fuyang, Anhui Province, 236000 |
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Abstract To evaluate the effects of of "one to one" whole-course midwifery nursing for pregnant women with gestational diabetes mellitus (GDM) on their delivery quality. Methods: 120 pregnant women with GDM admitted to hospital were selected as the study subjects from June 2020 to November 2022. According to the different nursing methods, these women were randomly divided into study group (60 cases) and control group (60 cases). The women in the control group had received traditional routine midwifery nursing, while the women in the research group had received " one-to-one " whole-course midwifery nursing combined with traditional routine midwifery nursing. The values of the blood glucose control indicators and delivery quality indicators of the women were analyzed and compared between the two groups. The postpartum nursing satisfaction of the women was investigated by questionnaire. Results: There were no significant differences in the levels of glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG) and 2h postprandial plasma glucose (2hPG) of the women at the postpartum first visit between the two groups (P>0.05). The levels of postpartum HbA1c (5.91±1.03%), FPG (5.57±0.91 mmol/L), 2hPG (6.38±1.19 mmol/L) of the women in the study group were significantly lower than those (7.24%±1.45%, 6.19±1.14 mmol/L and 8.17±1.60 mmol/L) of the women in the control group. The total labor time (498.2±52.4min), the postpartum hemorrhage (134.3±20.8ml) and the visual analogue scale score (6.7±0.7 points) of the women in the study group were also significantly lower than those (605.9±78.7min, 169.1±36.0ml and 8.2±1.4 points) of the women in the control group. The natural delivery rate (88.3%) and the nursing satisfaction (91.7%) of the women in the study group were significantly higher than those (66.7% and 76.7%) of the women in the control group, and the incidence of neonatal complications (11.7%) of the women in the study group was significantly lower than that (31.7%) of the women in the control group (all P<0.05). Conclusion: The "one to one" whole-course midwifery nursing for the pregnant women with GDM can effectively control their blood glucose changes, reduce their body pain, and improve their delivery quality and nursing satisfaction.
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