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Open Access 01-12-2021 | Gestational Diabetes | Research

Awareness of gestational diabetes mellitus foetal-maternal risks: an Italian cohort study on pregnant women

Authors: Paola Quaresima, Federica Visconti, Fabiana Interlandi, Luigi Puccio, Patrizia Caroleo, Giuseppina Amendola, Michele Morelli, Roberta Venturella, Costantino Di Carlo

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

Abstract

Background

Gestational diabetes mellitus (GDM) incidence is increasing worldwide. It represents a major risk factor for adverse foetal-maternal outcomes. Awareness among women in regard to GDM-related risks (in particular foetus ones) has been proven to have an impact on compliance with recommendations. Therefore we aimed to evaluate the efficacy of our post-diagnosis counselling, that informs affected women of the GDM related risks for complications, in determining an adequate level of understanding.

Method

This is a cohort study involving 400 women undergoing the 24-28 weeks 75 g oral glucose tolerance test. Two hundred women diagnosed with GDM received the post-diagnosis counselling (treatment group) and two hundred women diagnosed without did not receive any counselling (control group). Both populations were surveyed with a 5 question questionnaire regarding their awareness about GDM foetal-maternal related risks. Their level of education about GDM foetal-maternal related risks, estimated according to the number of correct answers, was scored as: primary (score 0-1), secondary (score 2-3) or tertiary (score 4-5).

Results

Most of the women in the treatment group after receiving the post-diagnosis counselling have demonstrated a secondary level of education 132/200 (66%). Their mean level of awareness was higher in comparison to the control group 2.6 ± 1.8 (SD) versus 2.14 ± 1.8 (SD) p value = 0.012. In particular, they’ve demonstrated to be more aware of the risks for the foetus to become macrosomic (p = 0.004) or to die in utero (p = 0.0001). A high level of education and to have had previous pregnancies positively affected correct answers.

Conclusions

Our post-diagnosis counselling has played a role in improving women awareness about GDM foetal-maternal related risks. Future study will explore the impact of women’s level of awareness on glycaemic control.

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Title: Awareness of gestational diabetes mellitus foetal-maternal risks: an Italian cohort study on pregnant women
Authors: Paola Quaresima
Federica Visconti
Fabiana Interlandi
Luigi Puccio
Patrizia Caroleo
Giuseppina Amendola
Michele Morelli
Roberta Venturella
Costantino Di Carlo
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Gestational Diabetes
Gestational Diabetes
Glucose Tolerance Test
Shoulder Dystocia
Published in: BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-021-04172-y

2024 ASCO Annual Meeting

Springer Medicine

Awareness of gestational diabetes mellitus foetal-maternal risks: an Italian cohort study on pregnant women

Abstract

Background

Method

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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