Overview:
While the prevention of GDM remains challenging, preventive strategies are essential to reduce its incidence and mitigate its consequences. Midwifery interventions can play a pivotal role in promoting maternal health through individualised care and community-based support.

Aims and Objectives:
This study explores the role of lifestyle modifications in reducing GDM incidence and investigates the effectiveness of implementing midwifery-led interventions to prevent GDM.

Method:
PubMed, Scopus and Google Scholar were searched for articles published between 2010 and 2025. The keywords "Gestational Diabetes Mellitus", "Midwifery Interventions”, and "Prevention" were used to identify relevant articles.

Results:
Several preventive measures for GDM have been proposed and investigated. Lifestyle modification, focusing on weight loss during preconception, effectively lowers GDM risk and physical activity during pregnancy can reduce GDM incidence by up to 40%, irrespective of BMI. Studies on pharmacological prevention of GDM, including metformin and supplements like vitamin D and myo-inositol, have yielded mixed outcomes. The fact that GDM is the most common medical condition during pregnancy and it has been reclassified as a chronic cardiometabolic condition due to its significant and long-term (lifelong) impacts raises the importance of early identification of modifiable risk factors and regular monitoring in the cortex of preconception, prenatal, antenatal and postnatal midwifery care. Recent findings suggest that midwifery interventions, based on continuity of care, individualised care and community-based support, significantly enhanced timely referrals and management and improved maternal adherence to preventive guidelines.

Conclusion:
Midwifery-led interventions offer an accessible approach to GDM prevention. By targeting modifiable risk factors through individualised care and improving maternal compliance through continuity of care, midwives can significantly contribute to disrupting the intergenerational cycle of diabetes and obesity. Future research should focus on identifying the most effective and efficient midwifery interventions offered to prevent GDM, putting forward the dynamics of the transition to motherhood.