Moradi Fatemeh, Ghadiri-Anari Akram, Enjezab Behnaz
Midwifery Consultant, Isfahan, Iran.
Diabetes Research Center, Department of Internal Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Diabetes Metab Syndr. 2020 Sep-Oct;14(5):1535-1539. doi: 10.1016/j.dsx.2020.08.004. Epub 2020 Aug 8.
The outbreak of the emerging coronavirus disease 2019 (COVID-19) is a global public health emergency. According to the findings, women with gestational diabetes mellitus (GDM) are at increased risk of this virus. Due to the need for quarantine and social distancing in the current disease situation and need to receive repeated medical care in GDM patients, this review study aimed to evaluate the self-care strategies for women with GDM during COVID-19 pandemic.
25 related articles from 2011 to 2020 and 3 guidelines were reviewed with the keywords of gestational diabetes mellitus, diabetes, pregnancy and COVID-19 in combination with self-care and self-management in PubMed, Google Scholar, Scopus, Science Direct, Elsevier, Springer, Wiley Online Library and SID.
According to the results of the studies, face-to-face visits should be limited and instead, telemedicine services recommended. Self-care throughout telemedicine services were improved maternal and neonatal outcomes in women with GDM.
Although self-care program through telemedicine services is beneficial for women with GDM, performing clinical trials are recommended to assess maternal and neonatal outcomes in this condition.
2019年新型冠状病毒病（COVID-19）的爆发是一场全球公共卫生突发事件。研究结果显示，妊娠期糖尿病（GDM）女性感染该病毒的风险增加。鉴于当前疾病形势下需要隔离和保持社交距离，且GDM患者需要接受反复的医疗护理，本综述研究旨在评估COVID-19大流行期间GDM女性的自我护理策略。
在PubMed、谷歌学术、Scopus、科学Direct、爱思唯尔、施普林格、威利在线图书馆和SID中，以妊娠期糖尿病、糖尿病、妊娠和COVID-19为关键词，结合自我护理和自我管理，对2011年至2020年的25篇相关文章和3份指南进行了综述。
根据研究结果，应限制面对面就诊，转而推荐远程医疗服务。通过远程医疗服务进行自我护理可改善GDM女性的母婴结局。
尽管通过远程医疗服务开展自我护理项目对GDM女性有益，但建议进行临床试验以评估这种情况下的母婴结局。
