Gestational diabetes is the most common metabolic disorder during pregnancy in Primary Health Care. In the management of this entity, health education plays a fundamental role. The aim of health education is to optimise metabolic control, which will allow for improvement in perinatal outcomes and prevention of maternal complications. When carrying out health education, it is important to take into account the educational methodology that acts on the individual’s motivation to change and that influences the reception and assimilation of the message. There are no standard educational techniques; instead, these should be adapted to the aims and be adjusted to the characteristics of the group being addressed. Additionally, the educational resources should promote maximum participation, as it provides a higher level of learning. Currently, the majority of pregnant woman with a high risk of developing gestational diabetes, or having been diagnosed with gestational diabetes, have difficulty in accessing Gestational Diabetes Hospital Units, both to resolve doubts and for follow-up. On the other hand, the care received by these women in Primary Health Care varies greatly, as this depends on previous diabetes training that the nurse or midwife may have, hindering, according to international consensuses, screening, therapeutic education and prevention of complications for both the foetus and the mother.


Totally agreed with you. Motivation to change is paramount to reach the goals in the control of diabetes. Every health professionals must know how to perform motivational interview in patients.

Josep Sanchez November 20, 2013

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