Development of Clinical Nursing Practice Guideline for Pregnant Women with Risk of Gestational Diabetes Mellitus

Main Article Content

Patcharakorn Pensirisomboon
Kanokporn Nateetanasombat


This research aimed to develop clinical nursing practice guideline for pregnant women with risk of gestational diabetes mellitus (CNPG-RGDM) by evidence-based practice and also aimed to apply CNPG-RGDM for pregnant women with risk of gestational diabetes mellitus. The results could divide into 2 phases. First phase was the development of CNPG-RGDM, which one hundred and seven articles had been searched, and yet twenty articles had relevant to nursing care for pregnant women with risk of GDM and GDM, which articles were in between 2013 to 2018.This development of CNPG-RGDM was composed of two processes, which were screening process for risk of GDM group by using assessment form for screening risk, and the process of nursing care relevant to level of risk of GDM and continuing follow up. Second phase was to apply this CNPG-RGDM. The samples were twenty-eight pregnant women with risk of GDM, who came to receive service for the first time to twenty eight weeks of gestational age. The study found that most pregnant women were in the high risk of GDM with 96.43 percentage. The low risk was 3.57 percentage. These pregnant women with risk of GDM had received the consultation, adjusted life style behaviors, and received handbook in order to record food consumption per day and record calories and suitable exercise. Final results after 1 week of applying CNPG-RGDM and follow up found that they had body weight not over 0.5 gram per week with 89.29 percentage and not found sugar in the urine last ANC visit at all case.


Download data is not yet available.

Article Details

How to Cite
Pensirisomboon P, Nateetanasombat K. Development of Clinical Nursing Practice Guideline for Pregnant Women with Risk of Gestational Diabetes Mellitus. J Royal Thai Army Nurses [Internet]. 2020Aug.31 [cited 2020Oct.21];21(2):252-61. Available from:
Research Articles


1. Kungtumneam, K. Promotion of Family Care for Pregnant Women with Gestational Diabetes Mellitus. Journal of Phrapokklao Nursing College. 2016; 27 (1): 189-195. (in Thai)

2. Melchior H., Kurch-Bek D., Mund M. The Prevalence of Gestational Diabetes. Deutches Arzteblatt International. 2017; 114: 412-8.

3. International Diabetes Federation. Management of gestational diabetes in the community. Eight Edition 2017; 1 - 16.

4. Lee Wei Kai, Siew Mooi Ching, Vasudevan Ramachandran, Anne Yee, Fan Kee Hoo, Yook Chin Chia, Wan Aliaa Wan Sulaiman, and et al. Prevalence and risk factors of gestational diabetes mellitus in Asia : a systematic review and meta-analysis. BMC Pregnancy and Childbirth. 2018; 18: e 494.

5. Diabetes Association of Thailand. Clinical Practice Guideline. Second Edition. National Health Security Office. Bangkok. 2014. (in Thai).

6. Phothisat S. Thailand Medical Services Profile 2011-2014 First Edition. 2557; 6: 1-20. (in Thai)

7. Rachawit S. The Prevalence of Gestational Diabetes Mellitus by IADPSG Criteria at Phramongkutklao Hospital. 2015; 23(3): 144-150. (in Thai).

8. Hayes L., Bilous R., Birous M., Brandon H., Crowder D., Emmerson C., Lewis-Barned N., Bell N., Universal Screening to Identify Gestational Diabetes: A Multi-Center Study in The North of England. Diabetics Research and Clinical Practice. 2013; e74-e77.

9. McCane R. David. Diabetes in Prenancy. Best Practice & Research Clinical Obstetrics and Gynaecology. 2015; 29: 685-699.

10. American Diabetes Association. Management of Diabetes in Pregnancy : Standards of medical care in diabetes-2018. Diabetic Care. 2019; 42: s1-s194.

11. Thai Nursing and Midwifery Council. Announce of Nursing and Midwifery Council; Scope and Competency of Advance Practice Nurse. 2008; 126: 29-33. (in Thai)

12. Diroksakulchai, F. Evidence-based nursing : principle and method. Faculty of Nursing, Mahidol University. Nakornpratom: 2012; 10-21.

13. Soukup, M. “Evidence-based nursing practice” Nursing Clinics of North America. 2000; 35 (2): 301-309.

14. Namjuntra R. A Review of Evidence-Based Nursing Practice Guideline Development for Community Nurse Pratrtioner. Thai Journal of Nursing Council. 2010; 25 (4): 109-125. (in Thai)

15. Garnweindner ML. Experience with nutritionrelated information during antenatal care of pregnant women of different ethnic backgrounds in the area of Oslo, Norway. Midwifery. 2013; 29: e130-e137.

16. Srisawat K. Management for Gestational Diabetes Mellitus. Journal of The Royal Thai Army Nurses. 2014; 15 (2): 50-59. (in Thai)

17. Limruengrong, P., Sinsuksai, N., Ratinthorn, Boriboonhirunsarn, D. Effectiveness of a Self-regulation Program on Diet Control, Exercise, and Two-Hour Postprandial Blood Glucose Levels in Thais with Gestational Diabetes Mellitus. Pacific Rim Int J Nurs Res. 2011; 5(3): 173-187. (in Thai)

18. Krisbunchoo M. The Effectiveness of Using Clinical Nursing Practice Guideline for Intrahospital Transportration of Critcally Ill Patients in Traumatic Department, Siriraj Hospital: Academic Conference 2019. Bangkok. 2019; 410-419. (in Thai)

19. Thaiudom A. Development and Evaluation of Evidence-based Nursing Protocol for Patients with Moderate to Severe Traumatic Brain Injury. Journal of The Royal Thai Army Nurses. 2018; 19 (3): 107-116. (in Thai)

20. Saengrut B. The Effect of Using Clinic Nursing Pratice Guideline for Diabetic Patients with Hypoglycemia, Maharaj Nakorn Chiang Mai Hospital. Journal of The Royal Thai Army Nurses. 2018; 17 (1): 124-131. (in Thai)