Effect of Lifestyle Modification on Pregnancy Outcome for GDM
Condition: GDM; Lifestyle; Pregnancy Outcome
Study type: Interventional

Summary: 
      Effect of lifestyle modification on pregnancy outcome for pregnant women with GDM
    

Detailed description: 
      evaluate the effect of lifestyle modification on pregnancy outcome among GDM women.

      Primary outcomes: excessive gestational weight gain, uncontrolled blood glucose level, PIH,
      polyhydromnios, oligohydrominos, recurrent monilia infection and urinary tract infection ,
      intra uterine fetal death (IUFD), intra uterine growth restriction (IUGR), premature preterm
      rupture of membrane and Diabetic ketoacidosis.

      Secondary outcomes: preterm labor, caesarian section, neonatal hypoglycemia, stillbirth,
      respiratory distress syndrome, small for gestational age (SGA), large for gestational age
      (LGA) ,neonatal intensive care unit (NICU) and failure to initiate or maintain breast
      feeding.
    

Intervention name(s): lifestyle modification (dietary modification); lifestyle modification (physical activity); lifestyle modification( self glucose monitoring)
Intervention type(s): Behavioral; Behavioral; Behavioral
Intervention description(s): low glycemic index diet the researcher gave detail information about (importance of LGI diet, component of food, number of meals and snake, example of food taken in breakfast, lunch, dinner and snake in between, food allowed and not allowed). After that, the researcher required from the woman to make an example of food for one day according to her income level, if correction of the content of food needed, the researcher will explain this point again.; health teaching about choose between two types of exercise to be selected according to the ability of GDM women to perform : brisk walking or seated arm exercise or selected both. Brisk walking should be performed for at least half an hour three time /week, while, seated arm exercise done three time after each meal for10 minute in each time. The researcher given a detail information about both types and its importance in decreasing blood glucose level, also how to perform and what should be done in case of appearance of fatigue manifestation during exercise, and the women have choice for perform both or selected one to perform according to your health condition.; self-glucose monitoring the researcher explain the important of monitoring blood glucose level and instruct the women about how to perform self- glucose measuring, recording way of the result in schedule and to bring this result in the next antenatal visit. The women who have digital blood glucose monitoring instructed to measure it at least 5 time/day. while, the women who didn't have digital blood glucose monitoring measure went to nearest pharmacy to measure blood glucose at least one time per day especially when the woman felt the signs and symptoms of hypo or hyperglycemia and recorded the result in paper or sent the result in whatsapp for the researcher if you have whatsapp application. In addition to give the woman instruction about sings symptoms of hypoglycemia and hyperglycemia and the proper ways for management
Other intervention name(s): low glycemic index diet; brisk waking exercise or seated arm exercise or both type performed; self glucose monitoring
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: control and study group
Masking: Single (Participant)
Primary purpose: Treatment