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Midwifery care about a woman diagnosed with gestational diabetes mellitus
KADLECOVÁ, Kristýna
Midwifery care about a woman diagnosed with gestational diabetes mellitus Abstract The bachelor thesis is focused on the midwife's care of a woman with a diagnosis of gestational diabetes mellitus. In the theoretical part, there several issues are described, such as gestational diabetes mellitus, its diagnosis and treatment, birth, puerperium, newborn, role of midwife, education, communication and related gestational diabetes mellitus. The survey was conducted with women in their home environment during March 2017. A qualitative method was used to carry out the research part. Data collection was conducted through semi-structured interviews with women diagnosed with gestational diabetes mellitus during pregnancy. Semi-structured interviews were carried out on prior agreement and with the consent of women. The interview contained 8 open questions, which were supplemented, if necessary, with other questions. Data analysis was done by the hand-coded method, or pen and paper method. Answers of individual respondents were identified by codes that were then categorized under each subcategory. One goal was set for this bachelor thesis. The objective was to find out what opinions women have on the possible necessary lifestyle changes in relation to gestational diabetes mellitus. Based on this aim, three research questions have been identified. The first one was focused on how the woman perceived the diagnosis. The second question tried to find out the changes in the lifestyle of women with gestational diabetes mellitus. And the third one was how the woman was educated by a midwife about the lifestyle change. The research revealed that all respondents, after being diagnosed with gestational diabetes mellitus, changed their existing lifestyle. All respondents carefully followed the treatment diet throughout the pregnancy until the end of the puerperium. Of these, two respondents included physical activity in their treatment as a quick walk. A research survey also showed that the midwife gave women limited information about GDM and lifestyle changes. Respondents were totally educated about a lifestyle change at the diabetes clinic, but they did not consider the midwife in the area as a educator. As a result, midwives tend to rely on the education of women from the diabetes clinic, and they only complete women's knowledge. The results of this research can serve ast the information material for midwives who want to improve their care of a woman during pregnancy or who are currently preparing for this profession.
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