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>Journals >Revista Salud Pública y Nutrición >Year 2012, Issue 2

Sánchez-Jiménez B, Hernández-Galván A, Graham CE, Mayra Chávez CM, Perichart-Perera O
Autocuidado en diabetes gestacional: asociación con factores clínicos y socioeconómicos
Rev Salud Publica Nutr 2012; 13 (2)

Language: Español
References: 28
PDF: 88.14 Kb.

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To describe self-care behaviors of a group of women with gestational diabetes mellitus (GDM) receiving medical treatment and diet therapy and its relationship with demographic and socioeconomic factors. Cross-sectional study conducted in 2009. Women were invited to participate in the outpatient prenatal care at the National Institute of Perinatology, if they were pregnant (30-34 weeks of gestation), were diagnosed with GDM and had at least three weeks with a prescribed diet. Dietary, physical activity, self-monitoring of capillary glucose behaviors and prenatal visits were assessed with a specific questionnaire. .Descriptive statistics, Chi square test, Pearson correlation and Student t-test were used for analysis. A total of 30 pregnant women participated in the study; 87% were overweight or obese before pregnancy. Diet adherence was 81%, physical activity 66% and capillary glucose self monitoring was 3%. Most women (83%) had familiar history of diabetes mellitus and 23% had personal history of GDM. More than half of the women with history of GDM (57%) were classified as having inadequate self-care behaviors. Women without history of GDM reported to do more exercise than those with previous GDM (p=0.053), and obtained the highest score in self-care behaviors. Living near the hospital (60% of women) was related with worse self care behaviors. Women without personal history of GDM showed better self-care behaviors than women with previous GDM, with higher levels of exercise. Even though, diet adherence was acceptable, capillary glucose self-monitoring was not a common behavior in this group of women.

Key words: Pregnancy, gestational diabetes, self-care behaviors, adherence.

>Journals >Revista Salud Pública y Nutrición >Year 2012, Issue 2
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