Effect of the Midwifery Continuity of Care with Smartphone Application for Women with Gestational Diabetes in Urban Area
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Abstract
This study employed a mixed methods research approach to investigate the effects of the midwifery continuity of care model combined with a smartphone application (Mama GDM application) in caring for pregnant women with gestational diabetes in Bangkok. The study sample consisted of 60 pregnant women with gestational diabetes, including nine nurse-midwives. The content validity and reliability of research instruments were approved. Data were analyzed using independent t-test and qualitative data were analyzed using thematic analysis.
The research findings were the mean self-care behavior scores and perception scores of women with gestational diabetes after receiving midwifery continuity of care combined with the use of the Mama GDM application was significantly higher than the control group (t = 3.42; p-value < .05 and t = 3.57; p-value < .05 respectively). Additionally, the nurse-midwives reflected on the use of the midwifery continuity of care combined with the Mama GDM application using semi-structured interviews in the following aspects: 1) promoting learning and awareness in self-care, 2) continuous care, follow-up, and provide information, and 3) easily accessible to pregnant women in urban areas. Pregnant women reflected into three main themes: 1) being stress with baby’s health, 2) having self-care opportunity, and 3) recognizing application as a beautiful and accessible function. Providing midwifery continuity of care with the Mama GDM application to women with gestational diabetes promotes proper self-care and builds confidence in ensuring the safety of both pregnant women and their fetuses.
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References
Sirirat S, Ruangvutilert P, Yapan P, Boriboonhirunsarn D. Prevalence of gestational diabetes mellitus among women with lower risk for gestational diabetes in Siriraj hospital. Thai Journal of Obstetrics and Gynaecology 2022;30(5):313-20. (in Thai)
Netimetee S, Boobpamala S. Nursing care for pregnant women with gestational diabestes mellitus during pregnancy. Journal of Health and Nursing Education 2022;28(1):e256658.
Fakier A, Petro G, Fawcus S. Mid-upper arm circumference: a surrogate for body mass index in pregnant women. South African Medical Journal 2017;107(7):606-10. doi: 10.7196/SAMJ.2017.v107i7.12255.
Msollo SS, Martin HD, Mwanri AW, Petrucka P. Prevalence of hyperglycemia in pregnancy and influence of body fat on development of hyperglycemia in pregnancy among pregnant women in urban areas of Arusha region, Tanzania. BMC Pregnancy and Childbirth 2019;19:315. doi: 10.1186/s12884-019-2463-8.
Shi P, Liu A, Yin X. Association between gestational weight gain in women with gestational diabetes mellitus and adverse pregnancy outcomes: a retrospective cohort study. BMC Pregnancy and Childbirth 2021;21:508. doi: 10.1186/s12884-021-03982-4.
Nasreen S, Wilk P, Mullowney T, Karp I. The effect of gestational diabetes mellitus on the risk of asthma in offspring. Annals of Epidemiology 2021;57:7-13. doi: 10.1016/j.annepidem.2021.02.003.
Pathirana MM, Lassi ZS, Ali A, Arstall MA, Roberts CT, Andraweera PH. Association between metabolic syndrome and gestational diabetes mellitus in women and their children: a systematic review and meta-analysis. Endocrine 2021;71(2):310-20. doi: 10.1007/s12020-020-02492-1.
Mistry SK, Gupta RD, Alam S, Kaur K, Shamim AA, Puthussery S. Gestational diabetes mellitus (GDM) and adverse pregnancy outcome in South Asia: a systematic review. Endocrinology, Diabetes and Metabolism 2021;4(4):e00285. doi: 10.1002/edm2.285.
Wang M, Hu RY, Gong WW, Pan J, Fei FR, Wang H, et al. Trends in prevalence of gestational diabetes mellitus in Zhejiang province, China, 2016-2018. Nutrition and Metabolism 2021;18(1):12. doi: 10.1186/s12986-020-00539-8.
Gagné-Ouellet V, Breton E, Thibeault K, Fortin CA, Cardenas A, Guérin R, et al. Mediation analysis supports a causal relationship between maternal hyperglycemia and placental DNA methylation variations at the leptin gene locus and cord blood leptin levels. International Journal of Molecular Sciences 2020;21(1):329. doi: 10.3390/ijms21010329.
World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience [Internet]. 2016 [cited 2021 Oct 11]. Available from: https://www.who.int/publications/i/item/9789241549912
Homer C, Brodie P, Leap N, Sandall J. Midwifery continuity of care: a practical guide. 2nd ed. New South Wales: Elsevier Australia; 2019.
Taylor BI. Diabetic continuity of care and A1c outcomes: evaluating single vs. multiple provider continuity of care of type II diabetics in a rural community medical home [Dissertation]. Pennsylvania: Carlow University; 2018.
Turienzo CF, Silverio SA, Coxon K, Brigante L, Seed PT, Shennan AH, et al. Experiences of maternity care among women at increased risk of preterm birth receiving midwifery continuity of care compared to women receiving standard care: results from the POPPIE pilot trial. PloS one 2021;16(4):e0248588. doi: 10.1371/journal.pone.0248588.
Thailand Nursing and Midwifery Council. Announcement of the nursing and midwifery council on the nursing and midwifery council’s statement during the COVID-19 outbreak situation [Internet]. 2016 [cited 2021 Oct 11]. Available from: https://www.ratchakitcha.soc.go.th/DATA/PDF/2564/E/033/T_0049.PDF (in Thai)
Eberle C, Stichling S. Telemedical approaches to managing gestational diabetes mellitus during COVID-19: systematic review. JMIR Pediatrics and Parenting 2021;4(3):e28630. doi: 10.2196/28630.
Gandhi K, Ives R. The efficacy of mHealth interventions in treatment of gestational diabetes mellitus: a research protocol. Undergraduate Research in Natural and Clinical Science and Technology Journal 2021;5(3):1-6. doi: 10.26685/urncst.220.
Immanuel J, Simmons D. Apps and the woman with gestational diabetes mellitus. Diabetes Care 2021;44(2):313-5. doi: 10.2337/dci20-0068.
Guo H, Zhang Y, Li P, Zhou P, Chen LM, Li SY. Evaluating the effects of mobile health intervention on weight management, glycemic control and pregnancy outcomes in patients with gestational diabetes mellitus. Journal of Endocrinological Investigation 2019;42(6):709-14. doi: 10.1007/s40618-018-0975-0.
Yew TW, Chi C, Chan SY, van Dam RM, Whitton C, Lim CS, et al. A randomized controlled trial to evaluate the effects of a smartphone application-based lifestyle coaching program on gestational weight gain, glycemic control, and maternal and neonatal outcomes in women with gestational diabetes mellitus: the SMART-GDM study. Diabetes Care 2021;44(2):456-63. doi: 10.2337/dc20-1216.
Creswell JW, Clark VLP. Designing and conducting mixed methods research. Los Angeles: SAGE; 2017.
Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 9th ed. Philadelphia: Lippincott, Williams and Wilkins; 2012.
Prasan S, Siriarunrat S, Tachasuksri T. Effects of continuous labor support programme on fear of childbirth and childbirth outcomes among primiparous women. Nursing Journal of the Ministry of Public Health 2021;31(1):148-60. (in Thai)
Coates D, Foureur M. The role and competence of midwives in supporting women with mental health concerns during the perinatal period: a scoping review. Health and Social Care in the Community 2019;27(4):e389-405. doi: 10.1111/hsc.12740.
Panmuang S, Sutthiprapa A, Phuakphan W. The development of self-care program for pregnant women with gestational diabetes mellitus. Journal of Health Research and Development, Nakhon Ratchasima Provincial Public Health Office 2023;9(1):130-44. (in Thai)
Viveiros CJ, Darling EK. Barriers and facilitators of accessing perinatal mental health services: the perspectives of women receiving continuity of care midwifery. Midwifery 2018;65:8-15. doi: 10.1016/j.midw.2018.06.018.
Forster DA, McLachlan HL, Davey MA, Biro MA, Farrell T, Gold L, et al. Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial. BMC Pregnancy and Childbirth 2016;16:28. doi: 10.1186/s12884-016-0798-y.