Delivery nursing intervention of gestational diabetes mellitus patients

Abstract

Objective To investigate the effects of nursing intervention on delivery outcomes of gestational diabetes mellitus (GDM) patients. Methods A total of 178 GDM patients volunteered for vaginal delivery were set as observation group (favorable nursing intervention) and 178 non-GDM parturients (vaginal delivery) were as control group (vaginal delivery) from October 2012 to October 2013. The length of labor, status of episiotomy, status of forcepsdelivery, status of cervix laceration and postpartum hemorrhage were compared, and the safety of GDM patients (vaginal delivery) was assessed by neonatal asphyxia assessment. Results In the observation group, the first stage length of labor, incubation period and active phase were (9.82±1.14), (7.35±1.25), (2.47±0.40)h, the second and third stage of labor length (42.36±5.56), (14.31±3.59) min, which all had no statistical difference compared with those of thecontrol group (t=2.19, 2.22, 2.64, 2.36, 1.97; P>0.05). The status of episiotomy, status of forcepsdelivery, status of cervix laceration and postpartum hemorrhage had statistical significance between two groups (χ2=0.25, 0.21, 0.84, 0.41, 0.35; P>0.05). Conclusions Under favorable nursing intervention, the GDM patients are safe to deliver nature, so it should be encouraged GDM patients select this kind of method if they do no have contraindication. Key words: Gestational diabetes mellitus; Vaginal delivery; Nursing