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Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F23%3A00133704" target="_blank" >RIV/00216224:14110/23:00133704 - isvavai.cz</a>

  • Result on the web

    <a href="https://journals.lww.com/ijebh/fulltext/2023/12001/antenatal_and_intrapartum_care_for_women_with.5.aspx" target="_blank" >https://journals.lww.com/ijebh/fulltext/2023/12001/antenatal_and_intrapartum_care_for_women_with.5.aspx</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1097/XEB.0000000000000392" target="_blank" >10.1097/XEB.0000000000000392</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project

  • Original language description

    Objectives:This project aimed to improve the quality of antenatal and intrapartum care for women with gestational diabetes (GD) by increasing nursing and midwifery care compliance with best practice recommendations.Introduction:GD is one of the most common diseases that can lead to several important maternal and fetal complications.Methods:This project was based on JBI's evidence implementation approach and included a baseline audit, the implementation of strategies, and a follow-up audit. The project was conducted in an obstetrics-gynecology department of a hospital in Bucharest, and the sample included 30 pregnant women with GD from that ward.Results:Regarding antenatal care, the baseline audit revealed low compliance (63%-87%) for criterion 2 (specific education), criterion 3 (multidisciplinary team), criterion 4 (individualized care plan), criterion 5 (training on self-monitoring), criterion 8 (dietician consultation), and criterion 10 (physical exercise program). Compliance with criterion 9 (physiotherapist consultation) was nil. Higher compliance (90%-100%) was reported for criterion 1 (screening for GD), criterion 6 (self-monitoring), and criterion 7 (maintenance of glycemic values). The intrapartum care audit criteria regarding maintaining blood glucose levels had compliance rates of 97% (criteria 13 and 14), 73% (criterion 11), and 67% (criterion 12). As a result of implementing the most appropriate strategies, maximum improvement was observed for all 12 audit criteria found to be deficient in the baseline audit.Conclusions:Strategies were identified and applied to successfully implement the best practices (educational programs and improved procedures). However, specific actions, such as regular targeted audits and continuous monitoring, are needed to maintain long-term results.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30230 - Other clinical medicine subjects

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2023

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    JBI EVIDENCE IMPLEMENTATION

  • ISSN

    2691-3321

  • e-ISSN

  • Volume of the periodical

    21

  • Issue of the periodical within the volume

    S1

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    9

  • Pages from-to

    „S38“-„S46“

  • UT code for WoS article

    001111566500004

  • EID of the result in the Scopus database

    2-s2.0-85178518236