Gestational diabetes

Gestational Diabetes Mellitus: Interventions for Hispanic/Latina Pregnant Women

Luis A. Gutierrez

PSMEMC OB Unit

Resurrection University, NUR 4642: Role Transition

Problem/topic

Gestational Diabetes Mellitus (GDM) impacts 2%-10% of all pregnancies in the United States every year (Center for Disease Control and Prevention, 2017).

Per care team, PSMEMC has experienced an influx of Hispanic/Latina pregnant women diagnosed with GDM.

Language barrier is the biggest obstacle with patient education. Staff members reported that Spanish speaking resources for GDM and nutritional education are scarce.

Community background

The racial disparities seen in GDM directly impacts St. Mary’s and Elizabeth Medical Center due to the physical location of the hospital. St. Mary’s and Elizabeth Medical Center is located near the Humboldt Park neighborhood.

 

 

 

 

 

 

 

 

 

Literature Review

Problem/topic

Cultural/linguistic barriers. Carolan-Olah et al. (2017) identify that language is one of the barriers understanding the impact that GDM could have on the mother’s health as well as the newborns. In addition, cultural food selection greatly increases the risk for developing GDM for Spanish speaking mothers.

 

Lack of activity and poor dietary selections. Chasan-Taber (2012) identifies that there is a higher likelihood for gestational diabetes and macrosomia to develop in Latinas who are obese.

 

Solution

Linguistic adaptation. Schellinger et al. (2017) demonstrate that Hispanic/Latina pregnant women participating in a group care model offered in Spanish showed indicators of effective education and implementation regarding GDM and pregnancy.

 

Cultural background, socioeconomic status and nutrition. Rhoads-Baeza and Reiz (2012) determine that the relevancy of the dietary recommendations provided to women, incorporating cultural factors, contributed and facilitated the success of interventions addressing Hispanic/Latina pregnant women.

 

Solution

An educational group program will be implemented at the St. Mary’s and St. Elizabeth’s OB unit.

 

The educational group program will provide:

 

Access professionals in Spanish.

Education and information on reducing their risk for GDM.

Space and support for women to learn healthy diet options that are culturally and linguistically relevant.

Implementation

Recruitment

Women at risks for GDM will be referred to group by PSMEMC OB Clinic

Intervention

Group will receive psychoeducation on GDM

Participants will be taught to test and measure glucose levels independently

Utilizing food journals to track meals and generate discussion around their current dietary practices

Nutrition education providing suggestions to each participant based off of food that is culturally relevant to them.

Assessment

Staff member will be able to track and share patient information with their medical physician for continuity of care.

To monitor patient’s health status throughout their pregnancy, surveys and glucose levels will be utilize.

 

 

Future Implementations

Acknowledgements

I would like to thank my Preceptor Ami Patel, BSN-RN and secondary preceptor Jennifer Kruc, BSN-RN who endorse this project and felt that it would be beneficial to the unit. I would also like to thank the OB residents who provided feedback on my intervention.

Gestational Diabetes Mellitus (GDM):

Interventions for Hispanic/Latina Pregnant Women

 

(Clinical Unit Here)

 

While Hispanic/Latina women are the population that is being seen at PSMEMC, they are not the most at risk for GDM. Nationally, Asian/Pacific Islander women are increasing at faster rates (See Table 1). Utilizing this model of incorporating cultural components to dietary interventions could also assist in dropping rates of GDM in that population.

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