Objective: This study aimed to compare effect of applying centering pregnancy model (CPM) versus individual prenatal care on certain prenatal care outcomes. Methods: A quasi experimental research design was followed. A purposive sample of 216 pregnant women without medical or obstetric problems requiring individualized care, was recruited from the Antenatal Outpatient Clinics of Mansoura University Hospitals, Egypt. Participants were randomly assigned to receive prenatal care under CPM or individual prenatal approach. Data were collected for the healthy behaviors adoption using Pregnancy-relevant Health Behaviors scale, women's extent of troubling about pregnancy physical discomforts using a Pregnancy Symptoms Distress scale, and women's satisfaction with prenatal care using Patient Participation & Satisfaction Questionnaire. Results: Post-intervention, CPM group equated to individual care group experienced lower distress about experienced pregnancy physical discomforts (8.06 ± 2.40 vs. 15.42 ± 3.84 respectively; t = 16.89 & p < .001), reported higher engagement to pregnancyrelevant health behaviors (37.71 ± 2.91 vs. 29.78 ± 4.3 respectively; t = 15.59 & p < .001), and higher satisfaction with and participation in care (80.8 ± 10.4 and 63.8 ± 11.1 respectively, t = 11.62 & p < .001). Conclusions: Hypotheses of the current study were accepted where CPM of prenatal care was associated with increased women adoption to the pregnancy-relevant healthy behaviors, reduced women distress about the experienced pregnancy physical discomforts and increased women participation and satisfaction about prenatal care.
Background: Gestational diabetes mellitus prevention efforts related to weight control and healthy lifestyle can potentially decrease risks of adverse outcomes for mothers and their children. For up to 85% of women who already have a diagnosis of GDM. Women with GDM who received dietary intervention, physical activity , selfmonitoring of blood glucose (BG), and insulin therapy had significantly lower risks of macrosomia, shoulder dystocia 5.9%, cesarean delivery 26.9% , and preeclampsia or gestational hypertension 8.6% than those who received standard care only. Aim: Evaluate the impact of educational intervention for pregnant diabetic women on their awareness regarding diet and exercise. Subjects and methods: Quasi experimental Researchdesign was carried out in this study, Sample size was estimated to be100 individuals divided into two groups, one control group (50 case) and one study group (50 case) conducted at the Obstetrics and Gynecology department (Antenatal clinics) in Suez Canal University Hospital. Results: This study revealed that there are no statistical significant difference between two groups (control and study) according their knowledge and practice about diet and exercises in pre intervention , the majority of pregnant diabetic women had a poor knowledge and bad practice toward diet and exercises. Also revealed that there high statistical significant difference in study group post intervention regarding to their knowledge and practice about diet and exercises compared to the control group that there are no statistical significant difference regarding to their knowledge and practice about diet and exercises post intervention. Conclusion: This study results showed that lifestyle of women with gestational
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