Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1393
10
1
gregorian
2015
1
1
29
1
online
1
fulltext
en
Effects of telephone follow-up on blood glucose levels and post-partum screening in mothers with Gestational Diabetes Mellitus
Medical Education
Medical Education
Original Research
Original Research
<p> <strong> Background: </strong>Gestational diabetes mellitus (GDM) is a form of diabetes that occurs in pregnancy. GDM, defined as glucose intolerance, first diagnosed or initiated during pregnancy affects 1-14% of pregnancies based on various studies. Screening and early diagnosis and appropriate glycemic control can improve prenatal outcomes. Telephone follow-up seems to be a reasonable way for pregnant women follow-up. The present study evaluated the effects of telephone follow-up on blood glucose level during pregnancy and postpartum screening. </p><p> <strong> Methods </strong>:Eighty mothers with GDM were enrolled in this clinical trial and randomly divided into intervention and control groups. All mothers were asked to check their blood sugar levels fivetimes daily. In intervention group, telephone intervention was performed for 10 weeks. In each follow-up, individuals were followed for insulin injections, diet, clinical tests and reminding the next visit. In control group, three times of telephone call was established to record blood sugar levels. Another telephone call was established at 6 weeks of postpartum in both study groups to evaluate the performance of the screening test for blood sugar. </p><p> <strong> Results </strong>:The mean age of mothers was 30.9±5 years in the control and 30.7±5.1 years in the intervention groups In intervention group, mean level of blood glucose, 2 hours after lunch at 28 weeks of pregnancy was significantly lower than the control group (P<0.05). Mean differences in levels of fasting blood glucose between 28 weeks and 32 and between 28 and 36 weeks of pregnancy were significantly higher in the intervention than the control group (P<0.05). Rate of postpartum glucose screening test was significantly higher in the intervention group (P<0.001). </p><p> <strong> Conclusion </strong>:The findings of this study demonstrated that telephone follow-up could significantly reduce fasting blood glucose levels in mothers with gestational diabetes and also increased the rate of postpartum screening test. </p><p> </p>
Gestational diabetes mellitus, Postpartum screening, Telephone, Follow-up.
707
712
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-873&slc_lang=en&sid=1
Rezvan
Khorshidi Roozbahani
rezvan.khorshidi@gmail.com
200319475328460018302
200319475328460018302
No
Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Mehrnaz
Geranmayeh
geranmay@tums.ac.ir
200319475328460018303
200319475328460018303
Yes
Department of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Sedigheh
Hantoushzadeh
hantooshzadeh@tums.ac.ir
200319475328460018304
200319475328460018304
No
Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Abbas
Mehran
mehranab2000@yahoo.com
200319475328460018305
200319475328460018305
No
Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.