Effect of multidisciplinary collaborative management on pregnancy outcomes of women with gestational diabetes mellitus

Abstract

Objective To investigate the effect of multidisciplinary collaborative management on pregnancy outcomes of women with gestational diabetes mellitus (GDM). Methods 88 patients with GDM who met the criteria were selected, and were divided into two groups according to the diagnosis time. 44 patients diagnosed from January 2016 to June 2017 were set as a control group, traditionally managed; and the other 44 patients from July, 2017 to August, 2018 an experimental group, with the multidisciplinary collaborative management model implemented. Fasting plasma glucose (FPG), 2 hours postprandial blood glucose (2hPG), the reaching-standard rates of FPG and 2hPG, the incidence of complications both in pregnant women and newborns were observed in the two groups after administration. Results The FPG, 2hPG, and the incidences of complications both in pregnant women and newborn were lower and the reaching standard rates of FPG and 2hPG were hihger in the in the experimental group than that in the control group [(4.05±1.01) mmol/L vs. (6.32±2.87) mmol/L, (6.03±0.91) mmol/L vs. (7.59±2.78) mmol/L, 22.73% vs. 54.55%, 11.36% vs. 43.18%, 81.82% (36/44) vs. 63.64% (28/44), and 88.64% (39/44) vs. 59.10%(26/44); all P<0.05]. Conclusion The use of multidisciplinary management model can improve the rate of blood glucose control in GDM patients and reduce the incidence of complications in pregnant women and newborns. It is worth being generalized. Key words: Gestational diabetes mellitus (GDM); Pregnancy outcomes; Multidisciplinary collaboration; Plasma glucose