Medical nutrition treatment of women with gestational diabetes mellitus by a telemedicine system based on smartphones.

Autor:	Yang, Ping, Lo, Wenpin, He, Zong‐lin, Xiao, Xiao‐min
Předmět:	PREVENTION of pregnancy complications ANALYSIS of variance BLOOD sugar monitoring CESAREAN section CHI-squared test CLINICAL trials COUNSELING DELIVERY (Obstetrics) GESTATIONAL diabetes FASTING GESTATIONAL age GLUCOSE tolerance tests HEALTH education HYPERTENSION in pregnancy PREMATURE infants INGESTION EVALUATION of medical care PREGNANCY T-test (Statistics) TELEMEDICINE MULTIPLE regression analysis DISEASE incidence SMARTPHONES
Zdroj:	Journal of Obstetrics & Gynaecology Research; Jul2018, Vol. 44 Issue 7, p1228-1234, 7p, 3 Diagrams, 5 Charts
Abstrakt:	Abstract: Aim: To explore whether WeChat platform‐based treatment of women with gestational diabetes mellitus (GDM) reduces the risk of perinatal complications and explore factors affecting gestational age at delivery. Methods: Pregnant women with GDM (n = 107) and normal glucose tolerance (n =50, group C) according to oral glucose tolerance test (OGTT) results during gestational weeks 24–28 were included. Women with GDM were divided into groups A (n =57) and B (n =50) according to informed consent. According to GDM treatment norms, group B was given routine outpatient treatment and health education guidance. In addition to the interventions in group B, group A was given access to both a smartphone‐based telemedicine system and articles providing continuous health education. The PBG level in groups A and B was compared, as were differences in maternal and fetal outcomes. Data were analyzed by t‐test, analysis of variance ( anova), chi‐square test and multiple linear regression, with P < 0.05 considered significant. Results: Fasting blood glucose (FBG) and 2‐h postprandial blood glucose (PBG) were significantly lower and premature delivery was significantly less likely in group A than in group B (all P < 0.05). Compared with group B, caesarean section was more likely in group A (P < 0.05). Pregnancy‐induced hypertension had a higher incidence in group B than in group C (P < 0.05). Gestational age at delivery was associated with OGTT2h, premature fetal membrane rupture and self‐monitoring of blood glucose. Conclusion: GDM treatment based on the WeChat platform effectively reduces FBG and 2‐h PBG and may improve pregnancy outcomes. However, 1‐h PBG was not affected by treatment. Obstetricians should consider the OGTT2h value to increase gestational age at delivery. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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