Glucose screening within six months postpartum among Chinese mothers with a history of gestational diabetes mellitus: a prospective cohort study

Abstract

Background Gestational diabetes mellitus (GDM) is a risk factor for diabetes mellitus. The 75-g, 2-h oral glucose tolerance test is recommended for mothers with a history of GDM to screen for diabetes in the postnatal period. The aim of this study was to investigate the rate of glucose screening within 6 months postpartum among Chinese mothers with a history of GDM, and to identify its predictors. Methods A prospective cohort study was conducted in a regional teaching hospital in Guangzhou, China, between July 2016 and June 2017. The participants were Chinese mothers ( n = 237) who were diagnosed with GDM, were aged 18 years or older with no serious physical or mental disease and had not been diagnosed with type 1 or type 2 diabetes prior to their pregnancy. The revised Chinese version of the Champion’s Health Belief Model Scale and social-demographic and perinatal characteristics factors were collected and used to predict postpartum glucose screening (yes or no). Adjust odds ratio (AOR) and 95% confidence interval (95% CI) were calculated. Results The mean age of the 237 mothers was 32.70 years (range from 22 to 44). Almost half of the mothers (45.6%) were college graduates or higher. Chinese mothers reported a high level of perceived benefits, self-efficacy, and health motivation towards postpartum glucose screening, with a mean score above 3.5. Chinese mothers were more likely to undertake postpartum glucose screening if they were a first-time mother [AOR 2.618 (95% CI: 1.398–4.901)], had a high perceived susceptibility score [AOR 2.173 (95% CI: 1.076–4.389)], a high perceived seriousness score [AOR 1.988 (95%CI: 1.020–3.875)] and high perceived benefits score [AOR 2.978 (95%CI: 1.540–5.759)]. Conclusion The results of this study will lead to better identification of mothers with a history of GDM who may not screen for postpartum glucose abnormality. Health care professionals should be cognizant of issues that may affect postpartum glucose screening among mothers with a history of GDM, including parity, perceived susceptibility, perceived seriousness and perceived benefits. Electronic supplementary material The online version of this article (10.1186/s12884-019-2276-9) contains supplementary material, which is available to authorized users.

Self‐care activities among patients with type 2 diabetes mellitus: A cross‐sectional study

“…The patients in our study also had inadequate blood sugar testing, which is in accordance with the earlier studies conducted in China (Dong et al, 2018; Guo et al, 2012; Yang et al, 2015) and Turkey (Kav et al, 2017). In mainland China, patients with T2DM have to pay for all blood sugar testing tools such as blood sugar monitors, test strips, and needles (Liu et al, 2019), which are very costly (Liu et al, 2019; Ong et al, 2014) and may prevent patients from regularly monitoring their blood sugar. Another possible reason for inadequate blood sugar testing is the fear of needles and pain (Ong et al, 2014).…”

Can Goal-Based Health Management Improve the Health Knowledge, Health Belief and Health Behavior in People at High Risk of Stroke? A Non-Randomized Controlled Trial

“…The Champion Health Belief Model Scale (CHBMS) in the Chinese version has 33 items and 6 dimensions, including perceived susceptibility (5 items), perceived seriousness (6 items), perceived benefits (6 items), perceived barriers (6 items), health cues to action (5 items) and self-efficacy (5 items). 29 The scale uses a Likert five-level scoring method, ranging from "completely disagree" to "completely agree" with a score of 1-5. The higher the score, the higher the belief in taking corresponding health behavior.…”

Research on the Effect of Nursing Methods for Gestational Diabetes Mellitus Based on Comprehensive Nursing Intervention

“…The effect of exercise therapy for gestational diabetes patients cannot be ignored. Pregnant women with gestational diabetes maintain proper exercise, which is not only beneficial to the health of mothers and babies, but also to better control of blood sugar levels, because the exercise of but also help to improve the sensitivity of insulin and gender receptor binding [ 20 ]. Improving glucose tolerance and reducing insulin requirements in patients with gestational diabetes can be achieved through appropriate exercise.…”