Successful outcomes in gestational diabetes through group education pathway

Summary

The rising incidence of gestational diabetes and inconsistent patient and foetal outcomes in Basingstoke and North Hampshire Hospital NHS Foundation Trust led to a redesign of its patient pathway for women with a positive oral glucose tolerance test. All women with a positive OGTT are invited to an afternoon session with education delivered by a diabetes nurse, diabetes specialist midwife and dietician. Women are taught home blood glucose monitoring. Review of monitoring data is carried out in a midwife led clinic that runs in parallel to our routine joint antenatal/diabetes clinic. A number of benefits have been demonstrated, with patient-reported outcomes showing the shared learning experience reduced anxiety and became a positive drive to improve diet and lifestyle. Group education is extremely cost effective and peer support, standardisation of educational materials and quality control of education are now embedded.

Challenge

The number of women being diagnosed with gestational diabetes is rising. Women require a multidisciplinary approach to their antenatal care. Each member of the team seeing patients individually was not sustainable without reduction in quality of information and support given. A lack of dietetic time was a main driver to change. The Trust's previous programme tended to over medicalise the experience and was not always viewed as a positive experience.

Objectives

To deliver a group education programme for women diagnosed with gestational diabetes with input from diabetes, obstetrics and dietetics which delivered comparable obstetric and maternal outcomes to existing program and made best use of the limited resources of our health care professionals.

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QiC Diabetes Commended 2016
Patient Care Pathway – Adults
Successful outcomes in gestational diabetes through group education pathway
by Basingstoke and North Hampshire Hospital NHS Foundation Trust

Contacts

Sarah Tombling

Job title:
Diabetes Specialist Nurse
Place of work:
Basingstoke and North Hampshire Hospital NHS Foundation Trust
Telephone:
01256 313613
Email:
sarah.tombling@hhft.nhs.uk

Resources

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