Status:

ACTIVE_NOT_RECRUITING

The Role of Early Nursing Intervention in the High-risk Population of Gestational Diabetes

Lead Sponsor:

Yan Lu

Conditions:

Early Nursing Intervention

Gestational Diabetes Mellitus

Eligibility:

FEMALE

Phase:

NA

Brief Summary

Pregnant women who established prenatal examination cards in the prenatal outpatient department of our hospital from January 2025 to September 2025 were selected. According to the inclusion criteria, ...

Eligibility Criteria

Inclusion

  • Gestational age \<10 weeks Singleton pregnancy confirmed by first-trimester ultrasound
  • Primary caregiver availability: At least one primary caregiver (spouse or parent) who:
  • Demonstrates adequate verbal communication and literacy skills (assessed by standardized evaluation)
  • Voluntarily participates in the study with signed informed consent
  • Metabolic risk factors meeting ≥1 criterion:
  • Pre-pregnancy BMI \>24 kg/m²
  • Maternal age ≥35 years at conception
  • Documented history of polycystic ovary syndrome (PCOS)
  • Fasting blood glucose (FBG) ≥5.1 mmol/L in early pregnancy
  • Parental history of diabetes mellitus (either parent)
  • Previous gestational diabetes mellitus (GDM)
  • History of macrosomia (birth weight ≥4000g)
  • Adverse obstetric history including:
  • Preterm delivery (\<37 weeks) Stillbirth or fetal demise Congenital malformations Neonatal death or unexplained neonatal death

Exclusion

  • Pre-existing medical conditions:
  • Chronic hypertension (diagnosed pre-pregnancy)
  • Renal disorders (e.g., chronic kidney disease stage ≥3)
  • Cardiovascular diseases (e.g., coronary artery disease, heart failure)
  • Prohibited medication use during pregnancy including:
  • Indomethacin
  • Phentolamine
  • Diuretics (e.g., furosemide, hydrochlorothiazide)
  • Phenytoin
  • Systemic corticosteroids (e.g., cortisone, prednisone)
  • Activity-limiting comorbidities:
  • a) Severe medical complications contraindicating physical activity (e.g., unstable angina, advanced respiratory failure)

Key Trial Info

Start Date :

January 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 30 2025

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT06997835

Start Date

January 1 2025

End Date

September 30 2025

Last Update

May 30 2025

Active Locations (1)

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1

Nantong First People's Hospital

Nantong, Jiangsu, China, 226001