Digital Health Management and Risk-Stratified Nursing for Pregnant Women With Gestational Diabetes Mellitus and Hypertensive Disorders of Pregnancy

We aimed to evaluate the intervention effect of risk-stratified nursing mode and digital health management on pregnant women with gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDP). A prospective randomized controlled trial was conducted to recruit 120 GDM patients with HDP. A control group (n=60) and an intervention group (n=60) were established for random allocation. Both groups received conventional nursing, and the intervention group additionally received risk-stratified nursing by a mobile health platform throughout the third trimester of pregnancy. The intervention group had significantly lower preterm delivery rate, macrosomia incidence rate, and fetal distress incidence rate than those of the control group (P<.05). The cesarean section rate and maternal complication rate significantly decreased in the intervention group in contrast to those in the control group (P<.05). Before delivery, the intervention group outperformed the control group in the levels of fasting blood glucose, postprandial blood glucose (PBG), systolic blood pressure, and diastolic blood pressure (P<.05). The risk-stratified nursing mode plus digital health management can effectively ameliorate the blood glucose and blood pressure control in pregnant women with GDM and HDP.