Nursing Care for Overweight or Obese Pregnant Women with Diabetes Mellitus in a Challenging Situation


  • Sineenat Waraphok Maternal Infant and Midwifery Section, Mae Fah Luang University.


diabetes in pregnancy, overweight or obesity, challenging situation, nursing care


               Diabetes mellitus, or simply diabetes, is a complication which is often found in pregnant women who are obese. Those who are diagnosed with need special health care for controlling weight gain and maintaining blood glucose at a normal level, as well as preventing other complications. The changeable situation of the COVID-19 pandemic has impacted antenatal care and follow up blood glucose in hospitals, and health behaviors and outcomes of pregnant women. Moreover, progression of communication technology has also been negatively affected which is a double-edged sword in health care. For advantages, progression of communication technology as telehealth in COVID-19 pandemic situation. These are useful in counsel and education in health issues and follow up on blood glucose. However, pregnant women can easily access health information through the internet; pregnant women may obtain inaccurate and inappropriate health information which could influence behaviors and outcomes related to health. Therefore, health literacy is an important issue. This article presents the impact of diabetes on pregnant women’s health, as well as the fetus and newborn, during the COVID-19 pandemic, progression of communication technology, and nursing process for overweight or obese pregnant women with diabetes that are relevant to a challenging situation



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