Diabetes Group Prenatal Care

Washington University School of Medicine84 enrolled

Overview

The investigators primary objective is to conduct a pilot randomized trial to determine the effect of group prenatal care on self-care activities in women with diabetes.

Long term, the investigators aim to test the central hypothesis that group prenatal care, compared to traditional prenatal care, will improve glycemic control and, ultimately, maternal and neonatal outcomes in women with type 2 and gestational diabetes. The objective of this proposal is to conduct a pilot randomized trial to determine the effect of group prenatal care on self-care activities, which have been associated with improved glycemic control, in women with diabetes.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Pregnancy Gestational Diabetes Type 2 Diabetes

Interventions

Group prenatal careBEHAVIORAL

Women will receive their prenatal care in a group rather than in the 1:1 traditional manner.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * English (WUMC) or Spanish speaking (DH) * Type 2 White's Class B diabetes OR gestational diabetes diagnosed by 2-step method \< 32 weeks * Ability to attend group prenatal visit at specified days and times * Willingness to be randomized * Randomization at 22 weeks 0 days-32 weeks 0 days * Ability to give informed consent Exclusion Criteria: * Multiple gestation * Major fetal anomaly * Serious medical co-morbidity necessitating more care than can be safely provided in group setting, as deemed by medical provider * Serious psychiatric illness including schizophrenia necessitating more care than can safely be provided in group setting, as deemed by medical provider

Locations (2)

Denver Health

Denver, Colorado, United States

Washington University in St. Louis

St Louis, Missouri, United States

Outcomes

Primary Outcomes

effect of group prenatal care on maternal diabetes self-care activities as measured Diabetes Self-Care Activities Measure

Determine the effect of group prenatal care on maternal diabetes self-care activities as measured by the Diabetes Self-care Activities Measure and confirmed by percentage of recommended blood glucose values completed on logs since initial study visit.

Time frame: 37-39 weeks gestation

Secondary Outcomes

effect of group prenatal care on perinatal mood as measured by Edinburgh Postnatal Depression Scale

Determine the effect of group prenatal care on perinatal mood as measured by the Edinburgh Postnatal Depression Scale

Time frame: baseline and 4-12 weeks postpartum

effect of group prenatal care on perceived social support as assessed by the Social Support Scale

Determine the effect of group prenatal care on perceived social support through the Social Support Scale

Time frame: 37-39 weeks

Birthweight

Determine the effect of group prenatal care on birthweight

Time frame: delivery admission

Gestational age at delivery

Determine the effect of group prenatal care on preterm delivery

Time frame: delivery admission

Mean 3rd trimester fasting blood glucose

Determine the effect of group prenatal care on maternal glycemic control through mean 3rd trimester fasting glucose

Time frame: baseline through delivery

Breastfeeding

Determine the effect of group prenatal care on initiating breastfeeding

Data from ClinicalTrials.gov

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