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波兰女性对妊娠糖尿病和母乳喂养益处的了解处于中等水平。

Polish Women Have Moderate Knowledge of Gestational Diabetes Mellitus and Breastfeeding Benefits.

机构信息

Department of Chemistry and Immunochemistry, Wroclaw Medical University, M. Skłodowskiej-Curie 48/50, 50-369 Wrocław, Poland.

出版信息

Int J Environ Res Public Health. 2021 Oct 3;18(19):10409. doi: 10.3390/ijerph181910409.

Abstract

Gestational diabetes mellitus (GDM) is a multifaceted disease and is associated with complications for newborns and mothers. The aim of the study was to assess Polish women's knowledge concerning GDM and their attitude to breastfeeding. As a research tool, an anonymous online survey that included 33 questions, grouped into three main sections-sociodemographic and obstetric variables, risk factors for GDM and neonatal adverse outcomes, and knowledge about breastfeeding-was used and administered online. A total of 410 women aged from 18 to 45 participated in this study. Based on the survey, it was demonstrated that the women had moderate knowledge concerning the maternal risk factors and adverse neonatal outcomes associated with GDM and, additionally, the short- and long-term effects of breastfeeding. Significantly deeper knowledge about GDM, including breastfeeding by GDM mothers, was observed among hyperglycemic mothers in comparison to normoglycemic mothers. However, knowledge concerning the health benefits of breastfeeding was not related to the mothers' glycemic status. In conclusion, educational programs must include pre-pregnancy education of women and place emphasis on explaining the mechanism of development of GDM and the transformation of GDM to type 2 diabetes. This is crucial for changing the public's perception of GDM as a temporary, reversible clinical entity.

摘要

妊娠期糖尿病(GDM)是一种多方面的疾病,与新生儿和母亲的并发症有关。本研究旨在评估波兰女性对 GDM 的知识水平以及她们对母乳喂养的态度。研究工具是一份匿名的在线调查,其中包含 33 个问题,分为三个主要部分:社会人口学和产科变量、GDM 的危险因素和新生儿不良结局,以及母乳喂养知识。共有 410 名年龄在 18 至 45 岁的女性参与了这项研究。根据调查结果,表明这些女性对与 GDM 相关的产妇危险因素和不良新生儿结局以及母乳喂养的短期和长期影响有中等程度的了解。与血糖正常的母亲相比,血糖升高的母亲对 GDM 包括 GDM 母亲母乳喂养的知识明显更深。然而,关于母乳喂养对健康的益处的知识与母亲的血糖状况无关。总之,教育计划必须包括对女性的孕前教育,并强调解释 GDM 的发病机制以及 GDM 向 2 型糖尿病的转变。这对于改变公众对 GDM 的看法至关重要,GDM 被认为是一种暂时的、可逆转的临床实体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c794/8508017/dc87b50747ad/ijerph-18-10409-g001.jpg

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