This is a pilot randomized controlled trial involving a sleep education intervention in women with gestational diabetes to study whether sleep education during pregnancy leads to improvement in glycemic control in women with gestational diabetes and improvement in sleep duration.
Patients will be identified from the Maternal-Fetal Medicine office and the Perinatal Assessment Clinic at Magee-Womens Hospital, University of Pittsburgh Medical Center. Patients with gestational diabetes will be recruited following general education regarding gestational diabetes in pregnancy which is universally done for all patients at the time of their diagnosis of gestational diabetes. Eligible subjects will be randomized to two groups (usual care vs. sleep education program).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
74
Sleep education specific to pregnancy
Magee-Womens Hospital of UPMC
Pittsburgh, Pennsylvania, United States
Glycemic control
Proportion of participants achieving glycemic control at study end. Glycemic control defined as greater than 75% of weeks with average fasting blood glucose \< 95 mg/dL and 1-hr postprandial blood glucose \<140 mg/dL.
Time frame: 3-6 months during pregnancy
Self-reported sleep duration
Proportion of patients who report sleeping between 7-9 hours per night
Time frame: 3-6 months during pregnancy
Average fasting glucose values
Time frame: 3-6 months during pregnancy
Average postprandial glucose values
Time frame: 3-6 months during pregnancy
Gestational age at delivery
Time frame: Time of delivery
Neonatal birth weight
Time frame: Time of delivery
Indication for delivery
Medical records will be used to determine whether a patient when into spontaneous labor, had an induction or labor or a recommended delivery by cesarean section. If the patient had an induction or labor or a recommended cesarean delivery, the indication for this recommendation will be recorded.
Time frame: Time of delivery
Route of delivery
Medical records will be reviewed to determine if the patient had a vaginal delivery or cesarean delivery.
Time frame: Time of delivery
Preeclampsia
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Medical records will be reviewed to determine whether a patient had a diagnosis of preeclampsia prior to delivery.
Time frame: Time of delivery