Background: Type 2 diabetes is increasing among the young, and gestational diabetes (GDM) offers a unique opportunity for diabetes prevention. We aimed to systematically review postpartum randomized trials to summarize the benefits of lifestyle interventions for women with previous GDM.Methods:We searched for RCTs involving women with previous GDM that compared lifestyle interventions—diet, physical activity or breastfeeding—at postpartum with usual care up to May 2018.Results:Of 1,895 abstracts identified, we selected 15 studies investigating incidence of diabetes or changes in glycemia. Most interventions focused on changes in diet and physical activity, only one also on incentive to breastfeeding. Meta-analysis of 8 studies investigating incidence of diabetes revealed a homogeneous (I2 = 10%), reduction of 25% (RR = 0.75; 95%CI: 0.55–1.03) borderline statistically significant. Only trials offering intervention soon after delivery (< 6 months post-partum) were effective (RR = 0.61; 95%CI: 0.40–0.94; p for subgroup comparison = 0.11). Overall, no benefit was found regarding measures of glycemia. Although moderate reductions in weight (MD = −1.07 kg; −1.43−0.72 kg); BMI (MD = −0.94 kg/m2; −1.79 −0.09 kg/m2); and waist circumference (MD = −0.98 cm; −1.75 −0.21 cm) were observed, effects were larger with longer follow-up.Conclusions:Summary results of the available evidence support benefits of lifestyle interventions at postpartum for women with previous GDM. Benefits, although smaller than those of major trials based in older subjects receiving intensive interventions, appear clinically relevant for this young subset of woman. Further studies are needed to improve the quality of the evidence and to further tailor interventions to this specific setting.

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Introduction: This proposal focuses on the maternal role, where the mother is a process of interaction and development. When a mother does her child's attachment, gain experience in their care and experience the joy and gratification of their role. Mercer covers several maternal factors: age, health status, fathermother and infant characteristics. It also defines how the mother perceives life events that influence the time to take care of your child with their innate characteris tics of her personality. Materials and Methods: Case report of a user with 30 years of age, attending the maternal and child unit by control of gynecology where obstetric ultrasound is ordered, which reports oligohydramnios, she is taken to surgery for male product extraction by cesarean. In the late puerperium presented dehiscence of the wound surgical. Results: A variety of activities carried out by the nurse to achieve increasingly better health status and thus a better quality of life, with scientific training thus meeting the criteria of comprehensive care involving the physical , mental and spiritual. Discussion and Conclusions: It is important to emphasize maternal and perinatal care in the nursing profession's role exerted from various fields of action and at different stages of procreation. The application of this theory to clinical practice served as a framework for assessment, planning, implementation and evaluation of care of the mother-child, helping to simplify a very complex process and thus facilitate understanding for its application in practice.