A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Management of Gestational Diabetes Mellitus among Pregnant Women Attending Maternity Hospital SKIMS, Soura, Srinagar, Kashmir
Abstract
Gestational Diabetes Mellitus (GDM) is a form of diabetes occurring during pregnancy which can result in short- and long-term adverse outcomes for women and babies. GDM is carbohydrate intolerance resulting in hyperglycemia with onset or first recognition during pregnancy. Accurate diagnosis allows appropriate treatment. A pre-experimental one group pre-test post-test design with non-probability purposive sampling technique was used. The sample size for the study was 60 pregnant women. The findings of the study revealed that 96.7% had poor knowledge and few numbers of study subjects (3.3%) had average knowledge and no study subject had good knowledge regarding management of gestational diabetes mellitus in pretest. All the study subjects (100%) had good knowledge, and none of the study subjects had average or poor knowledge regarding management of gestational diabetes mellitus in posttest. The mean post-test knowledge level (98.842±4.1604) was higher than the mean pre-test knowledge level (26.783±7.0653). This indicates the effectiveness of the Structured Teaching Programme in increasing the level of knowledge of pregnant women regarding management of gestational diabetes mellitus at 0.05 level of significance. There was no statistically significant association between posttest knowledge level of study subjects with their selected demographic variables such as age, educational status, parity, type of family and monthly family income, at 0.05 level of significance. The findings of the study concluded that pregnant women were not possessing adequate knowledge regarding management of gestational Diabetes Mellitus. The Structured Teaching Programme was found effective in increasing the knowledge level of study subjects, hence there was dire need to educate them regarding management of Gestational diabetes Mellitus.
References
Tieu J, Shepherd E, Middleton P et al. Dietary advice interventions in pregnancy for preventing gestational
diabetes mellitus. Cochrane Database of Systematic Reviews 2017; 1: CD006674.
Farrar D, Tuffnell DJ, West J et al. Continuous subcutaneous insulin infusion versus multiple daily
injections of insulin for pregnant women with diabetes. Cochrane Database of Systematic Reviews 2016; 6:
CD005542.
Metzger BE, Coustan DR. Proceedings of the Fourth International Work-shop-Conference on Gestational
Diabetes Mellitus. Diabetes Care 1998; 21(Suppl. 2): B1-167.
Barrett HL, Dekker Nitert M, Conwell LS et al. Probiotics for preventing gestational diabetes. Cochrane Database of Systematic Reviews 2014; 2: CD009951.
Gestational Diabetes. The National Institute of Diabetes and Digestive and Kidney Diseases, 2014. Retrieved
July 2016. Available from: https://www.niddk.nih.gov/health-information/diabetes/overview/what-isdiabetes/
gestational.
Greene MF. Screening for gestational diabetes mellitus. N Engl J Med 1997; 337(22): 1625-1626.
Zargar AH, Sheikh MI, Bashir MI et al. Prevalence of gestational diabetes mellitus in Kashmiri women from
the Indian subcontinent. Diabetes Res Clin Pract 2004; 66(2): 139-145.
Azu T, Essel J. Awareness and knowledge of gestational diabetes mellitus among pregnant women at the Tema
General Hospital, Ghana. An International Journal of Nursing and Midwifery 2017; 1(2): 33.
Hod M1, Asatiani N, Elphick A et al. Twinning Project, Israel and Georgia - the birth of Diabetes-in-pregnancy,
center in Georgia. Diabetes Medicine 2007: 16(8): 321-330.
Vanishree S, Anitha Rani M, Sathiyasekaran BWC et al. Awareness of gestational diabetes mellitus among
antenatal women in a primary health center in South India. Indian J Endocrinol Metab 2013; 17(1): 146-148.
Walkinshaw SA. Dietary regulation of gestational diabetes. Cochrane Database System Review 2003; 2: 142.