Review Article

Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review

Table 2

Characteristics of included studies assessing the impact of treatments on Quality of Life among GDM pregnant women.

StudyCountry/setting/yearStudy designAimMeasure of Quality of Life

Latif et al. [25]England
Two hospitals
2013
Quasi-experimental study
Three conditions:
(1) Treatment with metformin
(2) Treatment with insulin
(3) Treatment with metformin + insulin
To examine QoL (and treatment satisfaction) of women affected by GDM receiving metformin alone, insulin alone, or a combination of both treatments.128 women diagnosed with GDM during pregnancy
assigned to one of three conditions:
68 treated with metformin
32 treated with insulin
28 treated with metformin + insulin
ADDQoL

Petkova et al. [26]Bulgaria
Antenatal clinic
2011
Quasi-experimental study
Two conditions:
(1) Education group (intervention)
(2) Control group
To investigate the effectiveness of an educational program for pregnant women with GDM on their QoL (and other outcomes).30 pregnant women affected by GDM assigned to one of two conditions:
15 assigned to the intervention condition (education program)
15 assigned to the control condition
Five items measuring QoL

Dalfrà et al. [27]Italy
Twelve diabetes clinics
2009
Quasi-experimental study
Two conditions:
(1) Telemedicine condition (intervention)
(2) Usual care condition (control)
To assess the effect of a telemedicine intervention on QoL (and other outcomes) among pregnant women with diabetes (GDM and T1DM).235 pregnant women divided into two groups:
203 women with GDM
32 women with T1DM
Participants of each group were sequentially assigned to one of two conditions:
88 women affected by GDM and 17 women affected by T1DM assigned to the telemedicine condition
115 women affected by GDM and 15 women affected by T1DM assigned to the control condition
SF-36

Elnour et al. [28]United Arab Emirates
Hospital
2008
Experimental
study (RCT)
Two
conditions:
(1) Pharmaceutical care program (intervention)
(2) Usual care (control)
To evaluate the effect of a pharmaceutical care intervention programme for women with GDM on QoL (and other outcomes) both during pregnancy and after delivery.180 pregnant women diagnosed with GDM
randomly assigned to one of two conditions:
108 assigned to the intervention condition
72 assigned to the control condition
SF-36

Crowther et al. [29]New South Wales; Queensland; South Australia; England; Wales
Eighteen antenatal clinics
2005
Experimental
study (RCT)
Two
conditions:
(1) Intervention group
(2) Routine-care group (control)
To examine the effect of an intervention (including dietary advice, blood glucose monitoring, and insulin therapy) for women with GDM on QoL (and other primary and secondary outcomes).1000 pregnant women with GDM, randomly assigned to one of two conditions:
490 assigned to the intervention condition
510 assigned to the control condition
SF-36

GDM: Gestational Diabetes Mellitus; QoL: Quality of Life; T1DM: type 1 diabetes mellitus; ADDQoL: Audit of Diabetes-Dependent Quality of Life; SF-36: 36-Item Short-Form Health Survey.