Evidence summary for maternal postpartum management of gestational diabetes mellitus
Objective To provide solid evidence for clinical development and implementation of matemal post-partum management of gestational diabetes mellitus,we systematically retrieve,extract,summarize,and analyze the latest and the best evidence of maternal postpartum management of gestational diabetes mellitus.Methods Accord-ing to the top-down principle of the evidence-based resource 6S model,a systematic search of domestic and foreign computer decision support systems,guideline websites,databases,and relevant social websites was conducted for evi-dence on maternal postpartum management of gestational diabetes mellitus,including clinical practice guidelines,best clinical practice information manuals,evidence summaries,expert consensuses,systematic reviews,and standards.The search time limit was from the establishment of the databases to April 2023.2 trained researchers in systematic evidence-based knowledge evaluated the quality of the literature,combined with professional judgment,selected the literature that met the inclusion and exclusion criteria,and extracted the evidence.Results A total of 16 articles were included,including 9 guidelines,5 systematic reviews,and 2 expert consensus articles.The best evidence in-cludes 32 recommendations in 6 aspects:breastfeeding,postpartum medication precautions,lifestyle,postpartum follow-up and screening,contraception,and repeat pregnancy.Conclusion The study summarizes the best evidence for postpartum management of women with gestational diabetes,and provides an evidence-based basis for targeted appli-cation of evidence by clinical healthcare providers.