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The Effect of Transitional Care Mode on Exclusive Breastfeeding Rate of Gestational Diabetes Mellitus Patients

Received: 23 March 2021     Accepted: 13 April 2021     Published: 29 April 2021
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Abstract

Objective: To explore the effect of transitional care mode on the exclusive breastfeeding rate of patients with gestational diabetes mellitus patients (GDM). Methods: A retrospective survey of patients who had undergone regular obstetrics and delivery in the hospital was carried out from December 2016 to December 2017. A random selection of 110 patients with GDM was included as the control group, and routine measures were taken. A total of 110 patients with GDM were selected as the experiment group. The whole nursing intervention was conducted with nurses in transitional care department on the basis of routine measures. The patients’ knowledge about breastfeeding and the breastfeeding rate of the two groups were compared and analyzed. Results: A total of 220 patients with GDM were recruited. The awareness rate of breastfeeding could help to regulate glucose and lipid metabolism of mothers and newborns were higher than that in the control group (P<0.001). For the issues related to breastfeeding, the experiment group was lower than the control group (P<0.001). And after transitional care, the rate of exclusive breastfeeding was higher in the experiment group (P<0.001). Conclusion: The postpartum transitional care mode can effectively increase the rate of postpartum exclusive breastfeeding of GDM patients and is worthy of reference by peers.

Published in American Journal of Nursing Science (Volume 10, Issue 3)
DOI 10.11648/j.ajns.20211003.12
Page(s) 151-155
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Transitional Care Intervention, Gestational Diabetes, Exclusive Breastfeeding

References
[1] Yang Huixia, Xu Xianming, sun Weijie, et al. Guidelines for clinical practice of gestational diabetes mellitus (2nd Edition) [M]. People's Health Publishing House, 2013, 5 (2nd Edition): 64.
[2] BASEVI V. Diagnosis and classification of diabetes mellitus [J]. Diabetes Care, 2011, 34 (S1): S62 - S69.
[3] Zhu WW, Yang HX, Wang C, et al. High prevalence of gestational diatebesmellitus in Beijing: effect of maternalbirth weight and other risk factors [J]. China Med J, 2017, 130 (9): 1019-1025.
[4] Zhai ZW, Li L, Chen JJ. Target population and new birth population estimation under the comprehensive two-child policy [J]. Population Research, 2016, 40 (4): 35-51.
[5] Slusser W M. Breastfeeding and maternal and infant health outcomes in developed countries [J]. Aap Grand Rounds, 2007, 18 (2): 15-16.
[6] Oreilly M W, Abalos G, Dennedy M C, et al. Atlantic DIP: high prevalence of abnormal glucose tolerance post partum is reduced by breast-feeding in women with prior gestational diabetes mellitus [J]. European Journal of Endocrinology, 2011, 165 (6): 953-959.
[7] Ziegler A, Wallner M, Kaiser I, et al. Long-Term Protective Effect of Lactation on the Development of Type 2 Diabetes in Women With Recent Gestational Diabetes Mellitus [J]. Diabetes, 2012, 61 (12): 3167-3171.
[8] Trout K K, Averbuch T, Barowski M. Promoting Breastfeeding Among Obese Women and Women with Gestational Diabetes Mellitus [J]. Current Diabetes Reports, 2010, 11 (1): 7-12.
[9] China Development Research Foundation. The investigation report on influencing factors of breastfeeding in China [EB/OL], 2019-02-25.
[10] Yin Yanan, Luo Biru. Research progress of breast feeding [J]. Chinese Journal of maternal and child clinical medicine, 2013, 06: 837-841.
[11] Soltani H, DickinsonI F M, Kalk J, et al. Breast feeding practices and views among diabetic women: a retrospective cohort study [J]. Midwifery, 2008, 24 (4): 471-479.
[12] Zhang Shaomin. Breast feeding status and influencing factors of gestational diabetes mellitus patients at different stages of postpartum [J]. China maternal and child health care, 2015, 33: 5765-5767.
[13] Jin Jia, Huang Lihua. Progress in the research of the continuing nursing of gynecological cancer survivors [j]. Chinese Journal of nursing, 2017, 52 (5): 598-603.
[14] Chertok I R A, Raz I, Shoham I, et al. Effects of early breastfeeding on neonatal glucose levels of term infants born to women with gestational diabetes [J]. Journal of Human Nutrition and Dietetics, 2009, 22 (2): 166-169.
[15] Weyermann M, Rothenbacher D, Brenner H. Duration of breastfeeding and risk of overweight in childhood: a prospective birth cohort study from Germany [J]. International Journal of Obesity, 2006, 30 (8): 1281-1287.
[16] Chertok I R, Sherby E. Breastfeeding Self-efficacy of Women With and Without Gestational Diabetes [J]. MCN: The American Journal of Maternal/Child Nursing, 2016, 41 (3): 173-178.
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  • APA Style

    Zhili Chen, Lin Wang, Shiyi Zhang, Yihong Wu. (2021). The Effect of Transitional Care Mode on Exclusive Breastfeeding Rate of Gestational Diabetes Mellitus Patients. American Journal of Nursing Science, 10(3), 151-155. https://doi.org/10.11648/j.ajns.20211003.12

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    ACS Style

    Zhili Chen; Lin Wang; Shiyi Zhang; Yihong Wu. The Effect of Transitional Care Mode on Exclusive Breastfeeding Rate of Gestational Diabetes Mellitus Patients. Am. J. Nurs. Sci. 2021, 10(3), 151-155. doi: 10.11648/j.ajns.20211003.12

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    AMA Style

    Zhili Chen, Lin Wang, Shiyi Zhang, Yihong Wu. The Effect of Transitional Care Mode on Exclusive Breastfeeding Rate of Gestational Diabetes Mellitus Patients. Am J Nurs Sci. 2021;10(3):151-155. doi: 10.11648/j.ajns.20211003.12

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  • @article{10.11648/j.ajns.20211003.12,
      author = {Zhili Chen and Lin Wang and Shiyi Zhang and Yihong Wu},
      title = {The Effect of Transitional Care Mode on Exclusive Breastfeeding Rate of Gestational Diabetes Mellitus Patients},
      journal = {American Journal of Nursing Science},
      volume = {10},
      number = {3},
      pages = {151-155},
      doi = {10.11648/j.ajns.20211003.12},
      url = {https://doi.org/10.11648/j.ajns.20211003.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211003.12},
      abstract = {Objective: To explore the effect of transitional care mode on the exclusive breastfeeding rate of patients with gestational diabetes mellitus patients (GDM). Methods: A retrospective survey of patients who had undergone regular obstetrics and delivery in the hospital was carried out from December 2016 to December 2017. A random selection of 110 patients with GDM was included as the control group, and routine measures were taken. A total of 110 patients with GDM were selected as the experiment group. The whole nursing intervention was conducted with nurses in transitional care department on the basis of routine measures. The patients’ knowledge about breastfeeding and the breastfeeding rate of the two groups were compared and analyzed. Results: A total of 220 patients with GDM were recruited. The awareness rate of breastfeeding could help to regulate glucose and lipid metabolism of mothers and newborns were higher than that in the control group (PPP<0.001). Conclusion: The postpartum transitional care mode can effectively increase the rate of postpartum exclusive breastfeeding of GDM patients and is worthy of reference by peers.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - The Effect of Transitional Care Mode on Exclusive Breastfeeding Rate of Gestational Diabetes Mellitus Patients
    AU  - Zhili Chen
    AU  - Lin Wang
    AU  - Shiyi Zhang
    AU  - Yihong Wu
    Y1  - 2021/04/29
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajns.20211003.12
    DO  - 10.11648/j.ajns.20211003.12
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 151
    EP  - 155
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20211003.12
    AB  - Objective: To explore the effect of transitional care mode on the exclusive breastfeeding rate of patients with gestational diabetes mellitus patients (GDM). Methods: A retrospective survey of patients who had undergone regular obstetrics and delivery in the hospital was carried out from December 2016 to December 2017. A random selection of 110 patients with GDM was included as the control group, and routine measures were taken. A total of 110 patients with GDM were selected as the experiment group. The whole nursing intervention was conducted with nurses in transitional care department on the basis of routine measures. The patients’ knowledge about breastfeeding and the breastfeeding rate of the two groups were compared and analyzed. Results: A total of 220 patients with GDM were recruited. The awareness rate of breastfeeding could help to regulate glucose and lipid metabolism of mothers and newborns were higher than that in the control group (PPP<0.001). Conclusion: The postpartum transitional care mode can effectively increase the rate of postpartum exclusive breastfeeding of GDM patients and is worthy of reference by peers.
    VL  - 10
    IS  - 3
    ER  - 

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Author Information
  • Transitional Care Department, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Transitional Care Department, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Transitional Care Department, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Nursing College of Jinan University, Guangzhou, China

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