Women with gestational diabetes mellitus Postnatal glycemic control gestational diabetes mellitus glycemic control postnatal breastfeeding
Conditions
Interventions
Each participant will be recruited for not more than 11 months, depending on the week of enrolment in this study. The intervention will be conducted on a one-to-one basis by the same investigator thro
s communication with the lactation counselors through information or pamphlet received during antenatal or post-natal follow-up, and breastfeeding advice received at any time from any health care work
Sponsors
Universiti Teknologi MARA
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: 1.Pregnant women aged 18-45 years with 20 weeks of gestation or later 2. Primiparous women with singleton pregnancy 3. Pre-pregnancy BMI >22.9 kg/m2 4. Women who were diagnosed with GDM with 1 75g oral glucose tolerance test (OGTT) values exceeding established thresholds 5. On a diet-controlled alone 6. Women who receive antenatal care at Meru Health Clinic, Sungai Buloh Health Clinic, and Kuala Selangor Health Clinic 7.Have the intention to breastfeed 8. Have telephone access 9.Malaysian women
Exclusion criteria
Exclusion criteria: 1. Women whose illness or medication prevented her from breastfeeding the infants 2. Infant admitted to the Neonatal Intensive Care Unit (NICU) 3. Women who have already diagnosed with T1DM or T2DM 4.Women who were diagnosed with overt diabetes (at least presence with one of the following; FBG 7.0 mmol/L or random plasma glucose (RPG) 11.1mmol/L) 5. Women who have a severe infection such as HIV, human T- cell lymphotropic virus type I or II infection, or active tuberculosis 6. Carrying fetus with confirmed congenital anomalies which is unable to receive breastmilk naturally 7. Women who are unable to communicate in English or Malay. 8. Multiple pregnancies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| breastfeeding frequency 6 months postnatal time ,breastfeeding KAP antenatal Scoring system | — |
Secondary
| Measure | Time frame |
|---|---|
| blood glucose parameters Antenatal and postnatal MGTT, OGTT, HbA1C, HOMA-IR,anthropometry postnatal BMI, body fat percentage, waist circumference, mid upper arm circumference,Dietary intake antenatal and postnatal 3 days dietary record and Food Frequency Questionnaire | — |
Countries
Malaysia
Contacts
Public ContactYBHG. DATO INDERA DR. SHAARI NGADIMAN
JABATAN KESIHATAN NEGERI SELANGOR
Outcome results
None listed