Abstract
For more than a century, it has been known that diabetes antedating pregnancy can have severe adverse effects on foetal and neonatal outcome. As early as in the 1940s, it was recognized that women who developed diabetes years after pregnancy had experienced abnormally high foetal and neonatal mortality. By the 1950s the term “gestational diabetes” was applied to what was thought to be a transient condition that affected foetal outcomes adversely, then abated after delivery in the 1980s those cut-off points were adapted to modern methods for measuring glucose and applied to the modern definition of gestational diabetes glucose intolerance with onset or first recognition during pregnancy Globally, gestational diabetes mellitus (GDM) affects a significant portion of pregnant women, with approximately 20.4 million cases of hyperglycaemia during pregnancy recorded in 2019, and 83.6% of these cases attributed to GDM. The global prevalence of GDM has seen a notable rise, especially in low- and middle-income countries due to factors such as changing lifestyles, increasing obesity, and urbanization. Regions like China, India, and other parts of South Asia report particularly high GDM rates, driven by these socioeconomic and lifestyle shifts. As per National Family Health Survey (NFHS), India has witnessed a rising prevalence of gestational diabetes mellitus (GDM), as highlighted in a study analysing data from the prevalence increased from 0.80% in 2019–21. This study, covering a large sample of pregnant women across the country, identified that GDM is more common among older women, particularly those with higher Body Mass Index (BMI), thyroid disorders, or heart disease. Both rural and urban areas have seen increases in GDM cases, with states like Kerala, Meghalaya, and Goa showing significantly higher rates. “Effectiveness of an Interventional Package on Knowledge Regarding Gestational Diabetes Mellitus among Antenatal Mothers in Selected Rural Areas at Udaipur, Rajasthan” Objectives: To assess the pre-test and post-test knowledge scores regarding gestational diabetes mellitus among antenatal mothers. To evaluate the effectiveness of interventional packages on knowledge scores regarding gestational diabetes mellitus among antenatal mothers. To find out the association between pretest knowledge scores with selected socio demographic variables. The research approach adopted for this Study was quantitative research approach. A one group pre-test post-test research design was used for this study. Formal written permission was obtained from the authorities to conduct the study and informal consent was obtained from the antenatal mothers prior to the data collection process. The investigator selected 80 samples by non probable convenient sampling technique. A structured knowledge questionnaire was used for data collection. The data was analyzed using descriptive and inferential statistics. The finding of the study revealed the pre-test and post-test knowledge scores regarding gestational diabetes mellitus among 40 antenatal mothers in the experimental group and 40 antenatal mothers in the control group. In experimental group In the pre-test 42.5 % antenatal mothers had inadequate knowledge, majority 57.5 % , antenatal mothers exhibited moderately adequate knowledge and none of the mothers (0%) achieved an adequate knowledge level. In the post-test, the number of mothers with inadequate knowledge decreased to 17.5%, while those with moderately adequate knowledge increased to 67.5%. And 15.0 % antenatal mothers had adequate knowledge after the intervention. While in the control group in the pre-test, 37.5 % antenatal mothers had inadequate knowledge, majority 57.5 %, antenatal mothers had moderately adequate knowledge and only 5.0 % antenatal mothers had adequate knowledge. The calculated t-value for the comparison was 2.638, and the p-value was 0.012, indicating a statistically significant improvement in knowledge after the intervention in experimental group. The calculated t-value was 1.160, and the p-value was 0.253, indicating that the difference in knowledge scores between the pre-test and post-test in the control group was not statistically significant.