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A review of interventions to prevent Type 2 Diabetes after Gestational Diabetes
Authors:Ann S Peacock  Fiona Bogossian  H David McIntyre  Shelley Wilkinson
Institution:1. Department of Endocrinology, Xinxiang Central Hospital, Xinxiang, Henan 453000, China;2. Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai 200040, China;3. School of Economics, Fudan University, Shanghai 200433, China;4. Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China;5. Central Laboratory, Yang Pu District Center of Disease Control and Prevention, Shanghai 200090, China
Abstract:BackgroundGestational Diabetes Mellitus (GDM) during pregnancy is a risk factor for the development of Type 2 Diabetes (T2DM) within 15 years, and prevention programmes have been problematic.QuestionThe aim of the study is to identify effective strategies and programmes to decrease the risk of T2DM in women who experience GDM, the barriers to participation, and the opportunities for midwives to assist women in prevention.MethodsEnglish language, peer reviewed and professional literature published between 1998 and 2013 were searched. A systematic review of the literature was undertaken, included studies were then appraised for quality and finally findings of the studies were thematically analysed.FindingsThis review identified that there are interventions that are effective, however most lifestyle changes are difficult to translate into everyday life. As the incidence of GDM is expected to rise, midwives’ role in promoting long-term health behaviours requires further review.ConclusionsWomen need to overcome barriers and be supported in making the behavioural changes necessary to prevent T2DM following GDM. Midwives as the primary carers for women in pregnancy and childbirth are ideally positioned to educate women and engage them in lifestyle and behaviour programmes that prevent the onset of Type 2 Diabetes.
Keywords:Gestational Diabetes Mellitus  Type 2 Diabetes  Interventions  Prevention  Midwife
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