Nursing care of obese pregnant women with Gestational Diabetes Mellitus: A case study.

Abstract

     This study was a case study with the objective of nursing pregnant women with obesity and gestational diabetes. The study included pregnant women aged 36 years, domiciled in Chum Phuang Subdistrict, Chum Phuang District, Nakhon Ratchasima Province, who came for her first antenatal check-up on July 11, 2024 at Chum Phuang Hospital. She received blood and urine tests. The screening results for gestational diabetes showed 50 gm GCT 210 mg/dL on July 12. Made an appointment for a 100 gm OGTT test, abnormal results were found (95 mg/dl, 228 mg/dl, 205 mg/dl, 119 mg/dl, Hb A1c 5.89 % ). The doctor diagnosed G3P1A1L1 with AMA with GDM with Obesity and referred for treatment at Maharat Nakhon Ratchasima Hospital. The doctor at Maharat Nakhon Ratchasima Hospital diagnosed AMA with GDM A1 with Obesity, starting the study in July 2024 to April 2025.

     The study found that the drugs used during pregnancy were Triferdine, ASA(81) and CaCO3. Throughout the pregnancy care, the pregnant women were found to be anxious about the illness when they were informed of gestational diabetes in the first trimester. They were at risk of hyperglycemia or hypoglycemia, threatened miscarriage, lack of knowledge on diet control, at risk of fetus weighing less than 2,500 grams, at risk of hypertension during pregnancy, at risk of perineal wound infection due to gestational diabetes, and at risk of type 2 diabetes after childbirth. From the aforementioned problems, a solution was found based on knowledge and theory about diabetes in pregnant women. No complications of gestational diabetes requiring hospitalization were found. They were safe from hypertension. No complications were found during delivery. The delivery outcome was normal. The baby weighed 3,080 grams at birth. The mother and baby were discharged home together.