PURPOSE:
Gestational Diabetes Mellitus (GDM) is the most common complication of pregnancy, often managed within narrow biomedical frameworks. Drawing on reflective clinical insights and interdisciplinary dialogue, this abstract proposes an original, theoretical midwifery-led model that integrates digital technologies and family-centred care to support women with GDM clinically, emotionally, and culturally.

DISCUSSION:
Traditional approaches to GDM management often prioritise biomedical outcomes and glycaemic control while under-addressing the psychosocial, educational, and cultural needs of women. In practice, midwives frequently witness the psychological burden, cultural tensions, and fragmented care that women with GDM experience. Inspired by real-world challenges—including limited access to dietetic counselling in rural areas and increased anxiety around glucose monitoring—this model reimagines care pathways. Midwives act as coordinators within interdisciplinary teams (endocrinologists, dietitians, mental health professionals) while leveraging digital health tools: mobile apps, remote glucose monitoring, teleconsultations, and culturally tailored dietary education. What distinguishes this model is its dual focus: it merges clinical safety with a relational, empowering philosophy rooted in midwifery values—continuity, cultural humility, emotional well-being, and informed choice. Digital technologies are framed not as replacements for care but as extensions of the midwife’s presence, particularly in underserved settings. By addressing structural barriers and embedding trauma-informed and family-inclusive approaches, the model enables midwives to act not only as clinical caregivers but also as facilitators of health literacy, emotional well-being, and psychosocial resilience.

EVIDENCE WHERE RELEVANT:
Though theoretical, this model builds on qualitative studies in digital midwifery, WHO guidance on integrated GDM care, and feedback from women expressing the need for more compassionate, coordinated support. It also reflects lessons learned from midwifery practice in both urban and remote communities.

KEY MESSAGE:
Reflecting critically on current gaps in GDM care, midwives can lead innovative, interdisciplinary, and digitally supported models that bridge clinical excellence with compassionate, culturally responsive, and empowering support. Complications - GDM 1