Abstract
Objective: To explore the effect of transitional care mode on the exclusive breastfeeding rate of patients with gestational diabetes mellitus patients (GDM). Methods: A retrospective survey of patients who had undergone regular obstetrics and delivery in the hospital was carried out from December 2016 to December 2017. A random selection of 110 patients with GDM was included as the control group, and routine measures were taken. A total of 110 patients with GDM were selected as the experiment group. The whole nursing intervention was conducted with nurses in transitional care department on the basis of routine measures. The patients’ knowledge about breastfeeding and the breastfeeding rate of the two groups were compared and analyzed. Results: A total of 220 patients with GDM were recruited. The awareness rate of breastfeeding could help to regulate glucose and lipid metabolism of mothers and newborns were higher than that in the control group (<I>P</I><0.001). For the issues related to breastfeeding, the experiment group was lower than the control group (<I>P</I><0.001). And after transitional care, the rate of exclusive breastfeeding was higher in the experiment group (<I>P</I><0.001). Conclusion: The postpartum transitional care mode can effectively increase the rate of postpartum exclusive breastfeeding of GDM patients and is worthy of reference by peers.
Highlights
Gestational diabetes mellitus (GDM) is identified as the occurrence of first diagnosis of glucose tolerance abnormalities during pregnancy, not including the existed diabetes mellitus (DM)[1,2]
A few studies showed that the breastfeeding can affect the postpartum glucose and lipid metabolism of GDM patients to lower blood glucose, reducing the risk of DM by 39.0%~56%[5,6] in the future and pre-diabetes 44%~86%[7,8]
The postpartum breastfeeding guidance for GDM patients is based on the conventional model, which focuses on health education during the hospitalization and before discharge
Summary
Gestational diabetes mellitus (GDM) is identified as the occurrence of first diagnosis of glucose tolerance abnormalities during pregnancy, not including the existed diabetes mellitus (DM)[1,2]. The postpartum breastfeeding guidance for GDM patients is based on the conventional model, which focuses on health education during the hospitalization and before discharge. The GDM patients will face a variety of American Journal of Nursing Science 2021; 10(3): 151-155 problems after discharging from the hospital, which affects their confidence in breastfeeding. The transitional care model can enable GDM patients receive professional and continuity care during outpatient, hospitalization and residence to improve the self-efficacy of breastfeeding. It can improve the rate of exclusive breastfeeding in patients with GDM patients after delivery. The author carried out transitional nursing intervention for patients with GDM to improve the rate of postpartum breastfeeding.
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