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gestational diabetes care

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https://www.readbyqxmd.com/read/29914780/understanding-the-experiences-of-east-african-immigrant-women-with-gestational-diabetes-mellitus
#1
Fartoon M Siad, Xiao Yang Fang, Maria J Santana, Sonia Butalia, Marilynne A Hebert, Doreen M Rabi
OBJECTIVES: East African (EA) women are a subpopulation who are at very high risk for gestational diabetes (GDM) and poor obstetric outcomes, but little is known about the care experiences of this understudied group. The objective of this study was to document the impact of a diagnosis of GDM and the perceptions of diabetes care among EA immigrant women. METHODS: Semistructured in-depth interviews were conducted with 10 EA immigrant women diagnosed with GDM in Calgary; they were recruited from community and tertiary care settings...
February 2, 2018: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/29914395/factors-promoting-or-inhibiting-normal-birth
#2
Samantha J Prosser, Adrian G Barnett, Yvette D Miller
BACKGROUND: In response to rising rates of medical intervention in birth, there has been increased international interest in promoting normal birth (without induction of labour, epidural/spinal/general anaesthesia, episiotomy, forceps/vacuum, or caesarean section). However, there is limited evidence for how best to achieve increased rates of normal birth. In this study we examined the role of modifiable and non-modifiable factors in experiencing a normal birth using retrospective, self-reported data...
June 18, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29905009/history-of-gestational-diabetes-and-future-cardiovascular-disease-what-have-we-learned
#3
Cherng-Lan Hsu, Wayne H-H Sheu
It is well established that history of gestational diabetes mellitus (GDM) will increase risks of developing metabolic syndrome (MetS) and type 2 diabetes mellitus (DM) and often subsequently link to future risk of cardiovascular disease (CVD). Recommendations from The American Diabetes Association (ADA) indicates that GDM is one of risk factors for future CVD in women based on previous evidence showing strong associations between GDM and CVD, such as myocardial infarction and stroke1 . However, most of those relationships were obtained from analysis of retrospective data...
June 15, 2018: Journal of Diabetes Investigation
https://www.readbyqxmd.com/read/29903201/-risk-factors-of-gestational-diabetes-mellitus-among-the-re-birth-pregnant-women-in-xiamen-city-in-2015-2016
#4
Yanfeng Fan, Rongxian Xu, Lili Cai, Liqian Cai
OBJECTIVE: To discuss the risk factors of the gestational diabetes mellitus( GDM) among the re-birth pregnant women. METHODS: A total of 393 pregnant women with GDM were collected randomly according to the number of the antenatal care manual in the Maternal and Child Health Hospital in Xiamen City. Meanwhile, 393 pregnant women with normal glucose tolerance were chosen to be the control group matching withage of the GDM group. Their basic data would be analyzed, including the BMI before pregnancy, the degree of the education, the times of the abortion, the body weight gain during the pregnancy, their parental diabetes history, the birth weight of the last fetal, the history of GDM and so on...
November 2017: Wei Sheng Yan Jiu, Journal of Hygiene Research
https://www.readbyqxmd.com/read/29898693/peripartum-fetal-distress-in-diabetic-women-a-retrospective-case-cohort-study
#5
B Castelijn, Kwp Hollander, J F Hensbergen, R G IJzerman, A W Valkenburg-van den Berg, Jwr Twisk, Cjm De Groot, Mgaj Wouters
BACKGROUND: Major concerns of pregnancies complicated by diabetes mellitus are an increased risk of adverse perinatal outcome. The objective of this study was to analyse the rate of fetal distress during labor in women with type 1, type 2 and gestational diabetes compared to control women. METHODS: A retrospective case-cohort study was conducted at the VU University Medical Center, Amsterdam; a tertiary care hospital. 117 women with type 1 diabetes, 59 women with type 2 diabetes, 303 women with gestational diabetes and 15,260 control women were included, who delivered between March 2004 and February 2014...
June 14, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29895718/impact-of-prematurity-for-pancreatic-islet-and-beta-cell-development
#6
Frank H Bloomfield
As increasing numbers of babies born preterm survive into adulthood, it is becoming clear that, in addition to the well-described risks of neurodevelopmental sequelae, there also are increased risks for non-communicable diseases, including diabetes. Epidemiological studies indicate that risks are increased even for birth at late preterm and early term gestations and for both type 1 and type 2 diabetes. Thus, factors related to preterm birth likely affect development of the fetal and neonatal beta-cell in addition to effects on peripheral insulin sensitivity...
June 12, 2018: Journal of Endocrinology
https://www.readbyqxmd.com/read/29893994/predictive-factors-for-successful-cervical-ripening-using-a-double-balloon-catheter-after-previous-cesarean-delivery
#7
Mathilde Vital, Joséphine Grange, Aurélie Le Thuaut, Jérôme Dimet, Guillaume Ducarme
OBJECTIVE: To identify predictors of successful cervical ripening using double-balloon catheter (DBC) for labor induction among women with previous cesarean delivery (PCD) and unfavorable cervix at term. METHODS: The present prospective observational study was conducted among women who underwent cervical ripening with DBC at a French tertiary care hospital between January 1, 2014, and December 31, 2017. Inclusion criteria were PCD; singleton term fetus; cephalic presentation; and unfavorable cervix (Bishop score <6)...
June 12, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29892993/pre-pregnancy-weight-loss-in-women-with-obesity-requesting-removal-of-their-intra-uterine-contraceptive-device-in-order-to-conceive-a-pilot-study-of-full-meal-replacement
#8
L Brackenridge, N Finer, R L Batterham, K Pedram, T Ding, J Stephenson, J Barry, P Hardiman
Obesity during pregnancy is associated with increased risks of thromboembolism, gestational diabetes, pre-eclampsia, miscarriage, congenital anomaly, macrosomia and stillbirth. The current practice, directed at reducing gestational weight gain, is largely ineffective. The present pilot study was designed to assess the acceptability of a 24-week intensive weight management programme (IWMP; full meal replacement followed by partial meal replacement and weight stabilization) to achieve weight loss for women with obesity requesting removal of their intra-uterine contraceptive device in order to conceive...
June 11, 2018: Clinical Obesity
https://www.readbyqxmd.com/read/29885390/using-technology-to-support-care-in-gestational-diabetes-mellitus-quantitative-outcomes-of-an-exploratory-randomised-control-trial-of-adjunct-telemedicine-for-gestational-diabetes-mellitus-telegdm
#9
Tshepo M Rasekaba, John Furler, Doris Young, Danny Liew, Kathleen Gray, Irene Blackberry, Wen Kwang Lim
AIMS: The increasing incidence and prevalence of gestational diabetes mellitus (GDM) on a background of limited resources calls for innovative approaches healthcare provision. Our aim was to explore the effects of telemedicine supported GDM care on a range of health service utilisation and maternal and foetal outcomes. METHODS: An exploratory randomised controlled trial of adjunct telemedicine support in the management of insulin-treated GDM compared to usual care control...
June 6, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29885164/ahsg-rs4918-polymorphism-poses-a-weak-predisposition-to-insulin-resistance-during-pregnancy
#10
Aisha Tariq, Aleezay Asghar, Faiza Alam, Syeda Sadia Fatima
OBJECTIVE: To identify the association between Fetuin-A levels and genetic polymorphism with gestational diabetes mellitus among pregnant women visiting a tertiary care centre. METHODS: This cross-sectional case-control study was conducted at Aga Khan University Hospital, Karachi, from December 2015 to September 2016, and comprised pregnant women in their second trimester. Those with gestational diabetes mellitus were considered the cases while the rest acted as controls...
May 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29884601/the-rise-and-need-for-mobile-apps-for-maternal-and-child-health-care-in-china-survey-based-on-app-markets
#11
Puhong Zhang, Le Dong, Huan Chen, Yanling Chai, Jianbo Liu
BACKGROUND: Mobile health services are thriving in the field of maternal and child health in China due to expansions in the field of electronic health and the introduction of the two-child policy. There are numerous maternal and child health apps in computer stores, but the exact number of apps, number of downloads, and features of these apps is not known. OBJECTIVE: This study aimed to explore the use of maternal and child health apps in Android and iOS app stores and to describe the key functional features of the most popular apps, with the purpose of providing insight into further research and development of maternal and child health mobile health products...
June 8, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29871855/ehealth-as-the-next-generation-perinatal-care-an-overview-of-the-literature
#12
REVIEW
Josephus Fm van den Heuvel, T Katrien Groenhof, Jan Hw Veerbeek, Wouter W van Solinge, A Titia Lely, Arie Franx, Mireille N Bekker
BACKGROUND: Unrestricted by time and place, electronic health (eHealth) provides solutions for patient empowerment and value-based health care. Women in the reproductive age are particularly frequent users of internet, social media, and smartphone apps. Therefore, the pregnant patient seems to be a prime candidate for eHealth-supported health care with telemedicine for fetal and maternal conditions. OBJECTIVE: This study aims to review the current literature on eHealth developments in pregnancy to assess this new generation of perinatal care...
June 5, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29871596/pregnant-women-s-experiences-with-an-integrated-diagnostic-and-decision-support-device-for-antenatal-care-in-ghana
#13
Ibukun-Oluwa Omolade Abejirinde, Renate Douwes, Azucena Bardají, Rudolf Abugnaba-Abanga, Marjolein Zweekhorst, Jos van Roosmalen, Vincent De Brouwere
BACKGROUND: Quality antenatal care (ANC) is recognised as an opportunity for screening and early identification of pregnancy-related complications. In rural Ghana, challenges with access to diagnostic services demotivate women from ANC attendance and referral compliance, leading to absent or late identification and management of high-risk women. In 2016, an integrated diagnostic and clinical decision support system tagged 'Bliss4Midwives' (B4M), was piloted in Northern Ghana. The device facilitated non-invasive screening of pre-eclampsia, gestational diabetes and anaemia at the point-of-care...
June 5, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29861762/self-care-education-needs-in-gestational-diabetes-tailored-to-the-iranian-culture-a-qualitative-content-analysis
#14
Mitra Kolivand, Afsaneh Keramat, MehrAli Rahimi, Zahra Motaghi, Mohammad Shariati, MohammadHassan Emamian
Background: Gestational diabetes is one of the most common health problems in pregnancy that requires participation through self-care to reduce the maternal and neonatal complications. The present study aimed to determine the needs of women as an essential first step to formulate a self-care guide fitting the Iranian culture. Materials and Methods: The present qualitative study was conducted through interviews with 13 diabetic pregnant women and 10 care providers using semi-structured questionnaires in several cities of Iran in 2016...
May 2018: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29852235/capacity-and-capability-of-tanzania-health-facilities-to-diagnose-and-manage-diabetes-mellitus-in-pregnancy
#15
REVIEW
Kaushik L Ramaiya, Andrew Musa Swai, Theonest K Mutabingwa, Akwilina Wendelin Mwanri, Gibson B Kagaruki
AIMS: Gestational Diabetes Mellitus (GDM) remains a neglected cause of maternal and foetal morbidity and mortality in developing countries exacerbated by limited screening and management strategies. This study aimed to understanding how the RCH health system works in Tanzania, so as to provide opportunity for improving GDM screening and management. METHODS: A questionnaire was administered to facility staff and physical performance observed in 30 randomly selected public RCH facilities...
May 28, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29850611/vitamin-d-gestational-diabetes-and-measures-of-glucose-metabolism-in-a-population-based-multiethnic-cohort
#16
Åse Ruth Eggemoen, Christin Wiegels Waage, Line Sletner, Hanne L Gulseth, Kåre I Birkeland, Anne Karen Jenum
Objective: We explored associations between maternal 25-hydroxyvitamin D (25(OH)D) status during pregnancy and gestational diabetes (GDM) and other measures of glucose metabolism. Methods: We analysed 25(OH)D at 15 and 28 gestational weeks (GW) in 745 multiethnic pregnant women attending antenatal care units in Oslo, Norway, between 2008 and 2010. GDM was diagnosed with a 75 g oral glucose tolerance test at 28 GW. Separate regression analyses were performed to investigate associations between 25(OH)D and GDM and measures of glucose metabolism...
2018: Journal of Diabetes Research
https://www.readbyqxmd.com/read/29850608/maternal-nutrition-during-early-pregnancy-and-cardiometabolic-status-of-neonates-at-birth
#17
Musarrat Riaz, Fareeha Shaikh, Asher Fawwad, Rubina Hakeem, A Samad Shera, Graham A Hitman, Bishwajit Bhowmik, Nayla Christina do Vale Moreira, Abdul Basit, Akhtar Hussain
Objective: To explore the impact of maternal body weight on maternal nutrition and micronutrient status in early pregnancy and potential impact on metabolic status in newborns. Methodology: The EU FP7 project GIFTS was conducted from Jan 2012 to May 2014. Demographic details and anthropometric measurements of women in the first trimester of pregnancy were obtained. Blood samples were collected for OGTT, insulin, lipid profile, serum folate, ferritin, vitamin D, vitamin B12, and red cell folate...
2018: Journal of Diabetes Research
https://www.readbyqxmd.com/read/29850290/wolfram-syndrome-a-case-report-and-review-of-clinical-manifestations-genetics-pathophysiology-and-potential-therapies
#18
N B Toppings, J M McMillan, P Y B Au, O Suchowersky, L E Donovan
Background: Classical Wolfram syndrome (WS) is a rare autosomal recessive disorder caused by mutations in WFS1, a gene implicated in endoplasmic reticulum (ER) and mitochondrial function. WS is characterized by insulin-requiring diabetes mellitus and optic atrophy. A constellation of other features contributes to the acronym DIDMOAD (Diabetes Insipidus, Diabetes Mellitus, Optic Atrophy, and Deafness). This review seeks to raise awareness of this rare form of diabetes so that individuals with WS are identified and provided with appropriate care...
2018: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/29849620/circulating-micrornas-as-biomarkers-of-gestational-diabetes-mellitus-updates-and-perspectives
#19
REVIEW
Elisa Guarino, Chiara Delli Poggi, Giuseppina Emanuela Grieco, Valeria Cenci, Elena Ceccarelli, Isabella Crisci, Guido Sebastiani, Francesco Dotta
Gestational diabetes mellitus (GDM) is defined as any degree of carbohydrate intolerance, with onset or first recognition during second or third trimester of gestation. It is estimated that approximately 7% of all pregnancies are complicated by GDM and that its prevalence is rising all over the world. Thus, the screening for abnormal glucose levels is generally recommended as a routine component of care for pregnant women. However, additional biomarkers are needed in order to predict the onset or accurately monitor the status of gestational diabetes...
2018: International Journal of Endocrinology
https://www.readbyqxmd.com/read/29846198/innovations-and-challenges-of-implementing-a-glucose-gel-toolkit-for-neonatal-hypoglycemia
#20
Denise Hammer, Carla Pohl, Peggy J Jacobs, Susan Kaufman, Brenda Drury
BACKGROUND: Transient neonatal hypoglycemia occurs most commonly in newborns who are small for gestational age, large for gestational age, infants of diabetic mothers, and late preterm infants. An exact blood glucose value has not been determined for neonatal hypoglycemia, and it is important to note that poor neurologic outcomes can occur if hypoglycemia is left untreated. Interventions that separate mothers and newborns, as well as use of formula to treat hypoglycemia, have the potential to disrupt exclusive breastfeeding...
May 24, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
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