Nursing Care of the Woman with Diabetes in Pregnancy Evidence-Based Clinical Practice Guideline

Author: AWHONN
Affiliation:
Publisher: AWHONN
Publication Date: 2016
ISBN 10: 1938299213
ISBN 13: 9781938299216
eISBN: 9780015607272
Edition: 1st

Description:

Nursing Care of the Woman with Diabetes in Pregnancy, AWHONN’s first evidence-based clinical practice guideline addressing diabetes, provides comprehensive recommendations for nurses who care for women with diabetes-- types 1 or 2 and gestational diabetes (A1 or A2)--during pregnancy, labor and postpartum, and their babies. Included are recommendations for blood glucose targets and monitoring in pregnancy, intravenous insulin administration during labor, and neonatal hypoglycemia and feeding guidelines. The guideline will be invaluable for nurses, midwives, and nurse-practitioners working in both outpatient and inpatient settings. Recommendations for women with or at risk for diabetes before and between pregnancy (pre and interconception care) are also addressed, including guidelines for women who have had bariatric surgery. The introduction to the guideline covers prediabetes, the physiology of glucose metabolism in pregnancy, and summarizes key differences in national recommendations for diagnosing diabetes in pregnancy.

Table of Contents

Front Matter

  • ABOUT
  • preface
  • ACKNOWLEDGEMENTS

EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE DEVELOPMENT

  • PURPOSE STATEMENT
  • PATIENT POPULATION
  • SETTINGS
  • PROVIDERS
  • EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE ELEMENTS
  • EVIDENCE-BASED GUIDELINE DEVELOPMENT PROCESS

OVERVIEW OF DIABETES IN PREGNANCY

  • SCOPE OF THE PROBLEM
  • SCREENING FOR AND DIAGNOSING T2DM/GDM BEFORE 20 WEEKS GESTATION
  • SCREENING FOR AND DIAGNOSING GDM AFTER 20 WEEKS GESTATION
  • SPECIAL CONSIDERATIONS FOR DIAGNOSING GDM AFTER BARIATRIC SURGERY
  • GLUCOSE METABOLISM IN PREGNANCY
  • EFFECTS OF DIABETES IN PREGNANCY ON THE FETUS
  • SHORT-TERM METABOLIC IMPLICATIONS OF MATERNAL DIABETES FOR THE NEONATE
  • LONG-TERM METABOLIC IMPLICATIONS OF MATERNAL DIABETES FOR THE NEONATE
  • SHORT AND LONG-TERM MATERNAL EFFECTS OF DIABETES IN PREGNANCY
  • THE NURSE’S ROLE IN HEALTH PROMOTION FOR THE WOMAN WITH DIABETES
  • DIABETES SELF-MANAGEMENT EDUCATION
  • NAVIGATING NURSING CARE OF THE WOMAN WITH DIABETES IN PREGNANCY

EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE

  • ANTEPARTUM
  • INTRAPARTUM
  • NEONATAL
  • POSTPARTUM
  • PRECONCEPTION AND INTERCONCEPTION

REFERENCES

APPENDIX A: The HAPO Study

APPENDIX B: The AADE7 Self-Care Behaviors: Educating the Pregnant Woman with Diabetes

APPENDIX C: Considerations During Inpatient Use of Continuous Subcutaneous Insulin Infusion