Application effect of the stratified nursing in the management of the postpartum blood glucose of newborns delivered by pregnant women with gestational diabetes mellitus
Objective:To explore the application effect of the stratified nursing in the management of the postpartum blood glucose of newborns delivered by pregnant women with gestational diabetes mellitus(GDM).Methods:220 pregnant women with GDM and their newborns in hospital from March 2021 to March 2023 were collected and were di-vided into two groups(110 cases in each group)according to the orders of the admission to hospital of the women.The women in the control group had received routine nursing,while the women in the observation group had received the stratified nursing.The incidence of the hypoglycemia,the recovery time of the blood glucose,and the glucose supple-mentation situation of the newborns were compared between the two groups.The nursing satisfaction of the women in the two groups was evaluated.Results:The cumulative rate of the neonatal hypoglycemia(9.1%),the borderline hy-poglycemia rate(13.6%)and the recurrent hypoglycemia rate(0)of the newborns in the observation group were sig-nificantly lower than those(22.7%,33.6%and 6.4%)of the newborns in the control group(P<0.05).There was no significant difference in the incidence of the symptomatic hypoglycemia(0.9%vs.3.6%)of the newborns between the two groups(P>0.05).The recovery time of the blood glucose level(75.32±13.59min)and the glucose supplement magnitude(30.01±3.69ml)of the newborns in the observation group were significantly lower than those(112.65±26.17min and 42.58±6.17ml)of the newborns in the control group.The maternal nursing satisfaction(96.4%)of the women in the observation group was significantly higher than that(85.5%)of the women in the control group(P<0.05).Conclusion:The stratified nursing for the pregnant women with GDM is beneficial for improving the quality of the blood glucose management of their newborns,which can reduce the incidence of the neonatal hypoglycemia,pro-mote the blood glucose recovery of the hypoglycemic newborns,reduce the glucose supplementation for the newborns and improve the maternal satisfaction.