Document Type : Original Article


Department of Obstetrics and Gynaeocolgy, JIPMER, Puducherry, India


BACKGROUND: Globally, one in ten pregnant women have diabetes; out of which, 90% contribute
to gestational diabetes mellitus (GDM). Medical Nutrition Therapy (MNT) is the cornerstone for GDM
treatment yet adherence to MNT among the masses is not adequately monitored as part of the routine
antenatal services. The study aimed to estimate the proportion of adherence to MNT and determine
the factors related toadherence among antenatal women with GDM. This study also explores the
facilitators, barriers, and possible suggestions for improving adherence.
MATERIALS AND METHODS: This facility‑based sequential explanatory mixed‑method study was
conducted among 341 antenatal women with GDM at, Puducherry. The study was conducted in 2021.
Dietary adherence was evaluated using Perceived Dietary Adherence Questionnaire and based on
the scores obtained they were selected for in‑depth interviews to explore the facilitators and barriers.
Collected data wereanalysed by Chi‑square test using STATA version 16.
RESULTS: Out of 341 participants, the proportion of participants adherent to MNT was 135 (39.6%)
with 95% CI of 34%–44%.Thepredictors for poor adherence were unemployment (PR: 0.65; 95%CI:
0.48–0.88) and good adherence was antenatal women in the 2nd trimester (PR: 1.541; 95%CI:
1.18–2.025).Barrierstonon‑adherence were financial crisis, lack of awareness ofthe need for MNT,
and joint family pressure.
CONCLUSIONS: About two‑thirds of antenatal women with GDM are non-adherent to MNT.
Unemployment and period of gestation were found to be theirdeterminants. Appropriate action has
to be implemented for improving the adherence rate.


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