Diabetes Group Prenatal Care

Group Prenatal Care for Women With Diabetes: A Pilot Randomized Control Trial

The investigators primary objective is to conduct a pilot randomized trial to determine the effect of group prenatal care on self-care activities in women with diabetes.

Long term, the investigators aim to test the central hypothesis that group prenatal care, compared to traditional prenatal care, will improve glycemic control and, ultimately, maternal and neonatal outcomes in women with type 2 and gestational diabetes. The objective of this proposal is to conduct a pilot randomized trial to determine the effect of group prenatal care on self-care activities, which have been associated with improved glycemic control, in women with diabetes.

Inclusion Criteria:

• English (WUMC) or Spanish speaking (DH)
• Type 2 White's Class B diabetes OR gestational diabetes diagnosed by 2-step method < 32 weeks
• Ability to attend group prenatal visit at specified days and times
• Willingness to be randomized
• Randomization at 22 weeks 0 days-32 weeks 0 days
• Ability to give informed consent

Exclusion Criteria:

• Multiple gestation
• Major fetal anomaly
• Serious medical co-morbidity necessitating more care than can be safely provided in group setting, as deemed by medical provider
• Serious psychiatric illness including schizophrenia necessitating more care than can safely be provided in group setting, as deemed by medical provider