Effect of standardized education and supervision on pregnancy outcomes of women with gestational diabetes mellitus

Abstract Background: To evaluate the effect of knowledge and practice education on reducing adverse pregnancy outcomes in women with gestational diabetes mellitus (GDM). Methods: Prospective case-control studies were conducted, women with GDM who had randomly assigned into control group (168 cases) and intervention group (182 cases). In the control group, routine prenatal examination education was conducted, while in the intervention group, in addition to routine prenatal education, professional used video, WeChat public platform to regularly push knowledge and behavior education to women with GDM and supervise the implementation of actions. The pregnancy outcomes of the two groups were compared.Results: ①fasting blood glucose ,postprandial blood glucose in two hours, glycosylated hemoglobin of the intervention group was significantly lower than that of the control group (P 0.05); the vaginal pH value was significantly higher than that of the control group, TSH, the weight gain during pregnancy ,the incidences of preeclampsia, polyhydramnios, preterm premature rupture of membranes, premature rupture of membranes, cesarean section, puerperal infection, amniotic fluid pollution, chorioamnionitis, macrosomia, large for gestational age infants, neonatal care, neonatal hypoglycemia, neonatal pneumonia, the detection rates of BV, Candida, mycoplasma, Streptococcus agalactiae, cleanliness III / IV, and the positive rates of hydrogen peroxide, sialidosidase, and leukocyte esterase were significantly lower than those in the control group (P < 0.05)；The rates of Trichomonas, Neisseria gonorrhoeae, Chlamydia, the incidences of oligohydramnios, FGR, placenta previa, placental abruption, fetal distress in utero, postpartum hemorrhage, preterm labor, neonatal Apgar score less than 7 in one minute, neonatal defect, neonatal death, small for gestational age, hyperbilirubinemia were lower than those in the control group (P > 0.05). Conclusion: women with GDM supervise their self-management during pregnancy, which can effectively control the blood glucose level, maintain the vaginal microecological balance, and reduce the occurrence of adverse pregnancy outcomes.