关键词: 妊娠期糖尿病, 转归, 产后保健

Abstract: Objective: To investigate the status quo of postpartum outcome and health care needs of pregnant women with gestational diabetes mellitus (GDM) for 2 years after delivery, to provide reference for improving postpartum health care of them and reducing adverse outcomes. Methods: The convenience sampling method was used to investigate the status quo of postpartum outcomes and health care needs of GDM pregnant women who delivered in a third grade A hospital in Tianjin within 2 years. Results: About 13.6% of GDM pregnant women had postpartum body mass detention, 56.5% of them never monitored blood glucose postpartum, 4.2% of them had impaired glucose tolerance at different times after delivery, one GDM pregnant women had been diagnosed with type 2 diabetes within 2 years after delivery; 59.7% of them received postpartum care within 42 days after delivery, 34.6% of them never had postpartum care, 36.1% of them did not receive any relevant professional guidance.GDM pregnant women prefered to have obstetricians and gynecologists, midwives, and community health care doctors providing neonatal health care guidance, dietary guidance, exercise guidance, and health eduction for primary caregives through pregnancy school courses, brochures, and WeChat public platform, etc. Conclusion: At present, GDM pregnant women pay less attention to blood glucose changes and have poor awareness of self-monitoring. Postpartum health care is not systematic and standardized. In the future, screening and management should be further strengthened to reduce the occurrence of postpartum adverse outcomes of GDM.

Key words: Gestational diabetes mellitus, Outcome, Postpartum care