Nursing Care of Elderly Pregnancy with Gestational Diabetes Mellitus :Two Case Studies

Abstract

     This study was case study aimed to compare and study two cases of elderly pregnancy with gestational diabetes. Women of advance maternal age with gestational diabetes whoattended the Obstetrics and Gynecology Building in Praarjanphan Hospital were specifically selected. Data were collected from medical records, patient and family interview, as well as observation. Nursing diagnoses, nursing practice plans and nursing outcomes assessment were formulated by using the Gordon Health Model concept as a framework of the study. Data were anatyzed by content analysis

     Results : It was found that both cases were pregnant women aged over 35 years old diagnosed with gestational diabetes. In Case Study 1, the patient was diagnosed with gestational diabetes at 12 weeks of gestational age, while in case study 2, the patient was diagnosed with the symptom at 8 weeks of gestational age. Both cases were treated with different doses of insulin injection. In Case Study 2, the patient has poorer glycemic control than in Case Study 1, being injected with high doses of insulin and in diet control Additionally,        in Case Study 2, the patient was diagnosed with Pre term contraction which results in a long hospitalization period. For both cases, with the Gordon Health Model being equipped on nursing outcome assessments, the nursing diagnoses were found similar. Both patients were monitored and fully nursed until safe delivery. No post-delivery complications were detected either on the mothers or infants. Likewise no postpartum diabetes mellitus was found