Group Prenatal Care for Women With Diabetes: A Pilot Randomized Control Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pregnancy
- Sponsor
- Washington University School of Medicine
- Enrollment
- 84
- Locations
- 2
- Primary Endpoint
- effect of group prenatal care on maternal diabetes self-care activities as measured Diabetes Self-Care Activities Measure
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The investigators primary objective is to conduct a pilot randomized trial to determine the effect of group prenatal care on self-care activities in women with diabetes.
Detailed Description
Long term, the investigators aim to test the central hypothesis that group prenatal care, compared to traditional prenatal care, will improve glycemic control and, ultimately, maternal and neonatal outcomes in women with type 2 and gestational diabetes. The objective of this proposal is to conduct a pilot randomized trial to determine the effect of group prenatal care on self-care activities, which have been associated with improved glycemic control, in women with diabetes.
Investigators
Eligibility Criteria
Inclusion Criteria
- •English (WUMC) or Spanish speaking (DH)
- •Type 2 White's Class B diabetes OR gestational diabetes diagnosed by 2-step method \< 32 weeks
- •Ability to attend group prenatal visit at specified days and times
- •Willingness to be randomized
- •Randomization at 22 weeks 0 days-32 weeks 0 days
- •Ability to give informed consent
Exclusion Criteria
- •Multiple gestation
- •Major fetal anomaly
- •Serious medical co-morbidity necessitating more care than can be safely provided in group setting, as deemed by medical provider
- •Serious psychiatric illness including schizophrenia necessitating more care than can safely be provided in group setting, as deemed by medical provider
Outcomes
Primary Outcomes
effect of group prenatal care on maternal diabetes self-care activities as measured Diabetes Self-Care Activities Measure
Time Frame: 37-39 weeks gestation
Determine the effect of group prenatal care on maternal diabetes self-care activities as measured by the Diabetes Self-care Activities Measure and confirmed by percentage of recommended blood glucose values completed on logs since initial study visit.
Secondary Outcomes
- effect of group prenatal care on perinatal mood as measured by Edinburgh Postnatal Depression Scale(baseline and 4-12 weeks postpartum)
- Birthweight(delivery admission)
- effect of group prenatal care on perceived social support as assessed by the Social Support Scale(37-39 weeks)
- Contraception(4-12 weeks postpartum)
- Gestational age at delivery(delivery admission)
- Mean 3rd trimester fasting blood glucose(baseline through delivery)
- Breastfeeding(4-12 weeks postpartum)