نمونه ترجمه تخصصی بهداشت عمومی درباره مشارکت مردان در مراقبت از دیابت بارداری

The spouse's participation in gestational diabetes care

Gestational diabetes is a growing health problem in the world, so that it is one of the highly prevalent pregnancy complications [1]. After pregnancy, blood sugar in women with gestational diabetes returns to normal level, still, women with gestational diabetes have 15-20% higher risk of developing diabetes during the next 5-10 years [2]. The prevalence of gestational diabetes in the developed and developing countries is growing fast so that the global prevalence ranges from 1-14% [3]. The prevalence in Iran is about 3.4% [4]. The complication adds to the health risk to the mother and fetus during pregnancy and afterwards [5, 6]. Gestational diabetic women not only have to deal with mental and physical pressures of diabetes, but also have to deal with issues like complicated and multi-dimensional therapeutic regimen. They have to adhere self-care behaviors such as self-monitoring blood sugar, diet, and weight, regular insulin injection, and frequently and timely medical checks during pregnancy [7]. Thereby, these women need more social support than normal pregnant women [8], as the lack of social support puts the mother’s health during pregnancy at risk and leads to destructive pregnancy outcomes [9, 10]. Social support refers to receiving information, financial supports, and emotional support from the significant ones including members in one’s social network, spouse, relatives, and friends [11]. Leifer argued that the support by close individuals and spouse in particular can be helpful for the improvement of physical, mental, and spiritual health of woman during pregnancy [12]. A qualitative study by Emamgholi Khooshehchin showed that emotional support is highly helpful for adhering diet, measuring blood sugar, and doing exercise as a part of self-care for gestational diabetes. It leads to positive improvements in women’s capability to choose a healthy life style [13]. Women health is a serious concern in all countries and pregnancy with complications like gestational diabetes can impose risk to pregnancy health. Therefore, it is important for health systems in the world to find solutions to improve gestational health. It appears that one of these solutions is to motivate close individuals and spouse participations in particular in providing pregnancy care. The need for education to increase the father’s participation in pregnancy care and its positive effects on the mother and infant’s health have been supported by several studies in different countries [14, 15]. Spouses’ extensive knowledge of their partners’ problems and their participation in providing pregnancy cares is a sign of their interest in pregnancy health [16]. However, spouses’ limited knowledge of proper health behaviors, pregnancy problems, and physical needs of pregnant women is an important obstacle to demonstrate supportive behaviors by them. It is imperative, therefore, to provide pregnancy care education especially in the case of risky pregnancy like gestational diabetes [17]. Spouses can be highly supportive by accompanying their wives in walking, motivating them to adhere to the diet, and providing emotional support for measuring glucose or insulin injection [18]. Taking into account that women with gestational diabetes receive less social support than healthy pregnant women [8] and that there is a paucity of studies in Iran in this field, the present study is an attempt to determine the effects of education based on spouse participation on social support in women with gestational pregnancy.