Self-management interventions for gestational diabetes in Africa: a scoping review.

Journal: BMC pregnancy and childbirth

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana. Department of Maternal and Child Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana. Department of Maternal and Child Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana. gberchie@ucc.edu.gh. Department of Public Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana. sabraham@ucc.edu.gh. Department of Mental Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana. Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana. Biomedical and Clinical Research Centre, University of Cape Coast, Cape Coast, Ghana.

Abstract summary 

Gestational diabetes (GD) can threaten the health of both the mother and the foetus if it is not effectively managed. While there exists a growing body of research on self-management interventions for GD, there is a lack of reviewed studies regarding the various self-management interventions in Africa. The purpose of this review is to map the evidence of self-management interventions for GD in Africa.Searches for records were conducted in four major databases, including PubMed, PubMed Central, Science Direct and Journal Storage. Additional documents from Google and Google Scholar were also added. The guidelines for conducting scoping reviews by Arksey and O'Malley were followed.The results revealed that intermittent fasting, education on diet, insulin injection, blood glucose monitoring, physical activities, lifestyle modification and foot care were the available self-management interventions for GD in Africa. Most of the reviewed studies reported intermittent fasting and patient education as effective self-management interventions for GD in Africa. The barriers identified in the reviewed studies were either patient-related or facility-related. Patient-related barriers included lack of awareness, and negative attitude, while facility-related barriers included lack of access to education on GD, especially, face-to-face educational interventions.It is crucial to consider the cultural and personal needs, as well as the educational level of women with gestational diabetes when creating an effective self-management intervention. Optimal results can be achieved for self-management of gestational diabetes by integrating multidisciplinary approaches.

Authors & Co-authors:  Druye Andrews Adjei AA Owusu Gifty G Yeboa Naomi Kyeremaa NK Boso Christian Makafui CM Berchie Gifty Osei GO Nabe Bernard B Abraham Susanna Aba SA Nsatimba Frederick F Agyare Dorcas Frempomaa DF Agyeiwaa Joyce J Opoku-Danso Rita R Okantey Christiana C Ofori Godson Obeng GO Kagbo Justice Enock JE Obeng Paul P Amoadu Mustapha M Azu Theodora Dedo TD

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Kazma JM, van den Anker J, Allegaert K, Dallmann A, Ahmadzia HK. Anatomical and physiological alterations of pregnancy. J Pharmacokinet Pharmacodyn. 2020;47(4):271–85. 10.1007/s10928-020-09677-1. 10.1007/s10928-020-09677-1
Authors :  17
Identifiers
Doi : 549
SSN : 1471-2393
Study Population
Women
Mesh Terms
Humans
Other Terms
Africa;Barriers;Effectiveness;Gestational diabetes;Intervention;Self-management
Study Design
Study Approach
Country of Study
Publication Country
England