Providing Comprehensive healthcare Services for Women with Gestational Diabetes: Challenges and Strategies for Healthcare Settings
نویسندگان
1 Assistant Professor, Department of Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad University, Babol, Iran
2 a) Associate Professor, Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran b) Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
doi
10.22038/jmrh.2022.65496.1908چکیده
Dear Editor Gestational diabetes mellitus (GDM) is the most common medical condition in pregnancy, and manifests as different degrees of carbohydrate intolerance, first beginning or diagnosed during pregnancy (1). The According to the report of the International Diabetes Association (2020), in some countries the rate of gestational diabetes is 17.8-41.9% (2). The GDM prevalence in Iran was estimated at 4.9% (1). GDM is associated with various physiological complications as well as social and psychological consequences that need attention and care (3). Moreover pregnancy is associated with changes in sexual functioning, and when it is accompanied by special disorders such as GDM, sexual problems are aggravated (4). Women with GDM would face financial and organizational problems resulting from treatment and lack of access to centralized services including inefficient services in treatment and consultation, as well as insufficient information acquisition. Indeed, women who have economic problems often face obstacles such as lack of insurance and high costs that they should pay in order to gain access to healthcare services. Another problem is that pregnancy and GDM care for affected women are undertaken in separate centers. Yet the level of cooperation between gynecologists and diabetes specialists is only about 25%, which is undesirable (5, 6).