O10 Educational interventions to improve maternal-fetal outcomes in women with gestational diabetes

Abstract

Background and Objectives: to evaluate the improvement of gestational diabetes (GDM) outcomes for mothers and their offspring, induced by education provided to women with GDM and health care team members (HCTM) associated with coordination between primary care centers (PCC) and highly complex maternity (HCM) activities.

Methods: Pregnant women with GDM that completed control visits from the first appointment until delivery were recruited into primary care units-high complexity maternity facilities (PCU-HCM) (2017 to 2019) in the cities of Corrientes and Buenos Aires: 263 women recruited during the first year were assigned to the control group (CG), while 432 women recruited during the second period to the Intervention group (IG). The CG received habitual gestational controls while those of the IG received an educational program targeted at patients and HCTM. Courses for the latter included standards of diagnosis, prevention, and treatment of GDM, and systematic registry of clinical and metabolic indicators. They also included data on obstetric history, preeclampsia, gestation-induced hypertension, delivery method used, and newborn’s body weight. Other data recorded were: fasting blood glucose (FBG), serum cholesterol and triglycerides.

Results: the women of the IG showed significant changes (p<=0.05), such as less weight gain during pregnancy, a trend towards a lower percentage of triglycerides and cesarean sections and a significant increase in postnatal care for metabolic evaluation. Their newborns showed significantly lower body weight associated with a trend toward a lower percentage of macrosomia.

Conclusions: These data suggest that our educational intervention induced a favorable impact on GD outcomes for both mothers and their children.