Health intervention for blood glucose level in pregnant women with gestational diabetes during labor analgesia

  Objective  To explore the effect of health intervention on blood glucose level of pregnant women and newborns during labor analgesia.

  Methods  A total of 120 pregnant women diagnosed as gestational diabetes mellitus were randomly divided into observation group and control group, with 60 cases in each group. The control group was conducted with routine specialized outpatient care measures for diabetes, and the observation group was conducted with specialized outpatient guidance for diabetes based on specialized outpatient care measures. Gestational week, body mass index, neonatal body mass and umbilical vein blood glucose level were recorded before labor analgesia, and blood glucose levels of peripheral venous blood were recorded at the time points of before labor analgesia (T₁), 30 min after labor analgesia (T₂), 60 min after labor analgesia (T₃), uterine opening to 10 cm (T₄), and 2 h after delivery (T₅).

  Results  There were no significant differences in gestational week and body mass index at the time point of childbirth between two groups (P>0.05), but there were significant differences in body mass and blood glucose level of umbilical venous blood after delivery between two groups (P < 0.05). There were no significant differences in blood glucose levels between the two groups at T₁ and T₂ (P>0.05), but there were significant differences in blood glucose level at T₃, T₄ and T₅ between the two groups (P < 0.05).

  Conclusion  Through the health intervention in diabetes specialist nursing clinic, the blood glucose levels of childbirth and neonates are more stable in pregnant women with labor analgesia.