Introduction: Gestational Diabetes Mellitus rises the chance of health problems both risks development for the mom, and fetus. With adverse effects on psychological and medical well-being meaning a diminished in Quality of Life (QOL). Aim: To explore quality of life among women with gestational diabetes. Methods: A descriptive design was used for the study. The study was conducted at outpatient clinics of Suez Canal University Hospital. This study was conducted during June 2017 to December 2018. Convenience sample of two hundred pregnant women medically diagnosed with gestational diabetes were considered. Interview questionnaire sheet included five parts and QOL scale according to (Quality of life index diabetes version-111). Results: A sum of 200 mothers diagnosed with GDM were studied, their age range between 20-42, with Mean ±SD 29.7 ± 5.8 years, with gestational diabetes (53%). The quality of life to be the best in the social/economic domain, psychological/ spiritual domain, family domain and slightly worse in the health and functioning domain (66%, 64%, 48.0% and 32.0% respectively). There is highly significant difference between age, university education, living in urban area and knowledge. There is positive significant correlation between health and functioning domain, social economic domain, psychological spiritual domain and family domain with p<0.001. Conclusion: More than two thirds of the studied mothers were satisfied with both social/economic and psychological/ spiritual domains. Majority of studied mothers have appropriate knowledge about management of hypoglycemia. More than three fourth of studied sample did not have knowledge about symptoms of GDM. Recommendations: Designing guideline and brochure must be distributed among women attending antenatal clinic about self-care to promote their health concerning gestational diabetes.
Background and Objectives: Delivery is considered as one of the most painful experiences of women's life. There fore continuous labor support offers multiple benefits for mothers and infants. The present study aimed to compare the effects of maternal supportive care and acupressure (at LI4 a cupoint) during labor on labor pain intensity, and infant's Apgar score. Methods: Parturient women (n=150) with low-risk pregnancy (with singleton pregnancies in the active phase of spontaneous labor, without any medical or obstetric problems, were enrolled in this single-blinded, randomized, clinical trial)were randomly divided into supportive care(Doulas)group, LI4 acupressure group, and control group each containing 50 subjects in which no pharmacological or non-pharmacological methods of pain relief were used. Pain intensity was measured by visual analog scale before and after the intervention in the first stage of labor. Pressure or touch was applied for 30 minutes during uterine contractions. The data were collected using a questionnaire including demographic and pregnancy characteristics. Then, the data were analyzed using Chi-square test and one-way ANOVA. Results: The difference in the pain scores between Doulas, the acupressure and control group was statistically significant (p<0.001). Moreover, the frequency of Apgar score>8 in the first and 5 th minutes was higher in the supportive care and acupressure groups compared to the control group, and the difference was statistically significant (P<0.001). Conclusion and recommendation: Continuous support and acupressure are an effective, non-invasive, and easily applicable technique to reduce labor pain and could reduce the length of labor stages and. Therefore, these methods, as effective nonpharmacological strategies, can be introduced to the medical staff to improve the delivery outcomes.
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