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|Title: ||Non-Compliant Diabetic Women & their Pregnancy Outcome|
|Authors: ||Moawed, Salma.|
|Keywords: ||Diabetes, Pregnancy outcome, Women|
|Issue Date: ||2010 |
|Citation: ||The Saudi Critical Care Society International Conference and 5th International Pan-Arab Critical Care Medicine Congress. SCCS 2010, Jeddah, Saudi Arabia.|
|Abstract: ||Gestational diabetes mellitus is defined as glucose intolerance that begins or is first recognized during pregnancy. Gestational diabetes mellitus affects about 7% of all pregnant women in the United States – more than 200,000 cases annually – according to the American Diabetes Association (ADA). On the other hand, gestational diabetes represents 4.4% in Bahrain, & 9.4% in Saudi Arabia.
Gestational diabetes mellitus (GMD) is the main type of diabetes in pregnancy; it usually appears in the second half of the pregnancy and mainly influence fetal growth rate and can slow systematic development which leads to prenatal mortality due to macrosomia complications such as fetal hypoxemia, birth trauma, & hyperbilirubinemia. Moreover, respiratory distress, hypocalcaemia, intrauterine death (during the last 4 to 8 weeks of pregnancy), cardiac arrhythmias, are other complications associated with gestational diabetes.
Compliance is an essential component in the success of preventive and therapeutic efforts and in the efficacy of the suggested course of action. Moreover, compliance means the extent to which a person’s behavior “in terms of taking medication, following diet, activities or executing life style changes” coincides with medical and health advice.
In lights of the disturbing statistics related to patients’ compliance, maternity nurses or midwives are in the position of being able to provide education, counseling and communication to the client with multiple problems. They are in a unique position to develop interventions that will impact and enhance the client’s ability to adhere to their prescribed care.
The current study aims to assess the relationship between compliance among Saudi women with gestational diabetes and pregnancy outcome. A total of 250 women, were included in the study, which was obtained by collecting data from the Military Hospital diabetic clinics. The compliance behavior scale used included 25 statements about diabetic care. Data on birth weight, length of birth, congenital abnormalities for the current pregnancy were obtained from the neonatal records.
The result showed that women who didn’t comply, suffered more problems during pregnancy “bleeding and infection” and during labor and delivery “cesarean section, vacuum birth, blood transfusion and macrosomial congenital abnormalities. The results also showed that age, education, occupation and knowledge are significant predictors for compliance.|
|Appears in Collections:||College of Nursing|
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