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CONFERENCE PROCEEDING
Gestational diabetes and risk of type2 diabetes in Moroccan women: Insights from a prospective cohort study and qualitative data synthesis to inform practice and policy
1
National School of Public Health, Lecturer, Rabat, Morocco
Eur J Midwifery 2026;10(Supplement 1):A902
ABSTRACT
BACKGROUND:
Gestational diabetes mellitus (GDM) is a known precursor to the onset of type 2 diabetes (T2D). GDM is one of the main pathologies encountered by women during pregnancy, with serious short- and long-term consequences on maternal health. To prevent diabetes in mothers and their children, preventive care and post-partum follow-up are essential, yet often overlooked in LIMICs.
OBJECTIVES:
This study aimed to analyze long-term metabolic changes in a cohort of Moroccan women with a history of GDM. The study also involved qualitative data synthesis to inform practice and policy.
METHODS:
A prospective cohort study was conducted in the Marrakech-Safi region. Women with GDM and those with normoglycemic pregnancies in 2016-2017 were examined in 2020-2021. Ethical approval from University Mohammed V, Rabat (Ref. 55/20/07/2020). A systematic review of qualitative studies was conducted by searching PubMed, MEDLINE, Science Direct, Scopus and PsycINFO. Studies were eligible if they examined how women's experiences and perceptions of GDM affected adherence to postpartum follow-up and lifestyle interventions.
RESULTS:
A woman with GDM had three times risk of developing T2D within 4 years (OR= 3.06 [IC 95% 1.25-7.52] p=0.014).In GDM group, obesity emerged as the predictive factor for development of T2D, after adjustment for other factors. We included 31 articles. We found that women’s role as mothers and caregiver is competing with one’s own health priority resulting in poor postpartum screening and poor management of eating and physical activity behaviours. A supportive environment is essential for making lifestyle changes.
CONCLUSIONS:
We propose a comprehensive model for optimizing postnatal care that provides continuous access to care and education for adopting a healthy lifestyle in LIMICs contexts.
KEY MESSAGE:
In Morocco, women with prior GDM had a threefold increased risk of developing T2D within 4 years. Obesity was the main predictor of T2D postGDM. Supportive environments and midwife involvement are key to improving lifestyle changes. Poster session 4 (Group B)
Gestational diabetes mellitus (GDM) is a known precursor to the onset of type 2 diabetes (T2D). GDM is one of the main pathologies encountered by women during pregnancy, with serious short- and long-term consequences on maternal health. To prevent diabetes in mothers and their children, preventive care and post-partum follow-up are essential, yet often overlooked in LIMICs.
OBJECTIVES:
This study aimed to analyze long-term metabolic changes in a cohort of Moroccan women with a history of GDM. The study also involved qualitative data synthesis to inform practice and policy.
METHODS:
A prospective cohort study was conducted in the Marrakech-Safi region. Women with GDM and those with normoglycemic pregnancies in 2016-2017 were examined in 2020-2021. Ethical approval from University Mohammed V, Rabat (Ref. 55/20/07/2020). A systematic review of qualitative studies was conducted by searching PubMed, MEDLINE, Science Direct, Scopus and PsycINFO. Studies were eligible if they examined how women's experiences and perceptions of GDM affected adherence to postpartum follow-up and lifestyle interventions.
RESULTS:
A woman with GDM had three times risk of developing T2D within 4 years (OR= 3.06 [IC 95% 1.25-7.52] p=0.014).In GDM group, obesity emerged as the predictive factor for development of T2D, after adjustment for other factors. We included 31 articles. We found that women’s role as mothers and caregiver is competing with one’s own health priority resulting in poor postpartum screening and poor management of eating and physical activity behaviours. A supportive environment is essential for making lifestyle changes.
CONCLUSIONS:
We propose a comprehensive model for optimizing postnatal care that provides continuous access to care and education for adopting a healthy lifestyle in LIMICs contexts.
KEY MESSAGE:
In Morocco, women with prior GDM had a threefold increased risk of developing T2D within 4 years. Obesity was the main predictor of T2D postGDM. Supportive environments and midwife involvement are key to improving lifestyle changes. Poster session 4 (Group B)
| eISSN: | 2585-2906 |
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