The target audience is for any pregnant women. The specific article I chose off the website is geared towards pregnant women diagnosed with gestational diabetes (GDM).

The article is evidence based and gathers information from The American College of Obstetricians and Gynecologists (ACOG), which is one of the most influential and trusted guides to all prenatal care provided in the U.S. The article reviews some of the risks to getting GDM, which include;  age greater than 25, PCOS, overweight, personal or family history, medications and certain races (Black, Native American, Asian American, Hispanic, or Pacific Islander). This information aligns with information found in the evidence based source below.

Reference

Centers for Disease Control and Prevention. (2024c, May 15). Gestational diabetes. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/about/gestational-diabetes.html 

This information was organized well to benefit pregnant women in gaining a better understanding of GDM. Pregnant women having access to this information will increase awareness for the risk factors associated with GDM. 

The content of the article is provided at a reading level appropriate for the general public and helps pregnant women with GDM not feel alone in their diagnosis. Every pregnant woman wishes for a healthy pregnancy and GDM diagnosis can be startling or scary for patients. This website provides pregnant women with information to help navigate and not feel alone in their diagnosis. Additionally, the content of this article highlights how varying races and ethnicities can be at higher risk for gestational diabetes. This can be a result from socioeconomic factors, such as education, access to healthcare or lack of early detection.

The target audience for ACOG is physicians, nurses, pregnant patients and all women. The article chosen from the website is specifically targeted for pregnant women diagnosed with gestational diabetes. 

ACOG is one of the best sources for providing evidence-based information and helps many nurses and physicians with clinical decision making in women’s health. The specific article chosen is written by an expert obstetrician, Dr. Alexis Gimosvky. The article discusses how GDM is unique because it is a temporary diagnosis that is usually resolved after delivery. This is further supported by the reference below. 

Reference

MotherToBaby. (2025, March 1). Gestational diabetes. National Center for Biotechnology and Information. https://www.ncbi.nlm.nih.gov/books/NBK582729/  

The website’s content helps improve the public’s health because it helps answer common questions pregnant mothers have when diagnosed with GDM. Additionally ACOG provides a trusting source to provide patients with educational material and for physician or nurse use when making clinical decision making for patients with GDM.

It is important to be aware of patients having different views on childbirth and use of medication (insulin vs metformin). Some patients, due to cultural, personal or religious beliefs, might have a hard time coping with the possibility of induction or cesarean sections. It is important to educate patients on the risks and benefits and honor their wishes. Some cultures might also find shame in having pregnancy complications, which is why it is important to educate patients on what causes GDM and the importance of treating it.  

The target audience for the website is nurses and physicians in providing information from their research to better guide prenatal care. The site is also geared towards pregnant women in providing pertinent health information, education and resources. The website also offers supportive resources to women who have experienced a pregnancy or baby loss. The specific article I chose from the website focuses on providing pregnant women with information about gestational diabetes. 

The website used evidence based information. Studies confirm the importance of pregnant women with gestational diabetes receiving continued evidence based education, physiological assessment and access to supportive resources. The stressors and anxiety from managing and coping with the diagnoses can continue after delivery. 

Reference

Benton, M., Silverio, S. A., & Ismail, K. (2023). "It feels like medically promoted disordered eating": The psychosocial impact of gestational diabetes mellitus in the perinatal period. PloS one, 18(7), e0288395. https://doi.org/10.1371/journal.pone.0288395 

The article brings awareness to the public on how pregnant women diagnosed with GDM might be at high risk to encounter mental health issues. Bringing awareness to the issue and providing a helpline to those in need positively impacts the community.

The website also addresses and supports women who have experienced pregnancy loss, which shows more inclusion of women who have faced difficult situations. Additionally, the article chosen on gestational diabetes discusses how this diagnosis can affect mental health and brings awareness to it. 

Rachel Reed is a midwife in the UK and Australia. Besides being a  midwife, she conducts research, writes educational content and creates podcasts on topics surrounding childbirth and pregnancy. The specific blog post selected is for any pregnant women managing or diagnosed with gestational diabetes.

One topic Rachel discussed in her blog is how pregnant women with gestational diabetes (GDM) and babies that are large for gestational age (LGA), there is a greater risk for shoulder dystocia during delivery. Rachel cites many studies and articles throughout her blog post to support her claims. The reference below also supports her information regarding shoulder dystocia being a higher risk in the settings of LGA and GDM.  

Reference

Politi, S., Dʼemidio, L., Cignini, P., Giorlandino, M., & Giorlandino, C. (2010). Shoulder dystocia: an Evidence-Based approach. Journal of prenatal medicine, 4(3), 35–42. 

The content helps educate the public on gestational diabetes, diagnosis and management. People having more information regarding their health helps them make more informed decisions about their health and improve patient outcomes. 

The information provided by this artifact relates to inclusion because women diagnosed with gestational diabetes often feel stigmatized. Pregnant women having access to this information can feel more in control and have a better understanding of the health of their baby and themselves. 

The target audience is for pregnant women who are getting ready to take their glucose tolerance testing, which tests for gestational diabetes. 

The two tests described in the video are the standard guidelines followed to test for gestational diabetes. The information follows evidence based practice which has patients first get a 1 hour glucose test and if they don’t pass they will need to complete a 3 hour glucose tolerance test to confirm the diagnosis of gestational diabetes. 

Reference

Quintanilla Rodriguez, B., Mahdy, H., & Vadakekut, E. (2024, July 14). Gestational diabetes. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK545196/ 

The information is great for the general public and especially pregnant women, in order to educate and prepare them for the glucose tolerance test. It is important that pregnant women understand the tests they take and how the diagnosis is confirmed. 

The information helps promote inclusivity because it provides the information at a proper education level for the general public to understand. It does a great job at explaining the topic in a short and concise way. The information is also easily accessible to the public.

The target audience is pregnant women, especially those diagnosed with gestational diabetes. Mass General Brigham is a healthcare system based in Boston that is connected with Harvard Medical School and produced the video on gestational diabetes. The video has Camille Powe, MD as its speaker, who is a Co-director of the diabetes pregnancy program. The video reviews the history of diabetes in pregnancy, how GDM prenatal care has evolved and how to manage GDM.

The video states that an individually tailored diet and walking after eating helps with balancing sugar levels. Additionally, the video states that insulin is the first choice for medication in cases where blood sugar levels cannot be controlled by diet. This information aligns with evidence based information gathered from the references below. 

References

Andersen, M. B., Fuglsang, J., Ostenfeld, E. B., Poulsen, C. W., Daugaard, M., & Ovesen, P. G. (2021). Postprandial interval walking—effect on blood glucose in pregnant women with gestational diabetes. American Journal of Obstetrics and Gynecology MFM, 3(6), 100440. https://doi.org/10.1016/j.ajogmf.2021.100440  

Kelley, K. W., Carroll, D. G., & Meyer, A. (2015). A review of current treatment strategies for gestational diabetes mellitus. Drugs in context, 4, 212282. https://doi.org/10.7573/dic.212282

This video benefits the public because pregnant women are able to easily access the video and its information to learn more about gestational diabetes and measures that help balance blood sugar levels. The public being more educated on their health promotes positive health outcomes. 

The content of the video relates to equity and how patients deserve patient centered care. In the video it states that each pregnant woman with GDM needs a tailored diet plan because everyone's body reacts differently to foods.  Additionally it is important to recognize what barriers patients might face in managing their GDM. Costs for a glucometer and supplies, transportation to appointments and environmental stressors at home or work can all impact the ability for patients to manage their blood sugars. It is important to tailor care plans to each individual patient and their needs. 

The target audience is for pregnant women diagnosed with gestational diabetes.

Robyn Compton’s instagram focuses on incorporating foods with low carbohydrates, protein and vegetables in the majority of meals. The article below provides evidence based practice that aligns with Robyn Compton's diet recommendations. Pregnant women with gestational diabetes should focus on distributing their carbohydrates throughout the day and obtain it from better sources such as vegetables, legumes and whole grains. Additionally protein intake is important in regulating blood sugars and most easily obtained from lean meat, fish and plants.

Reference

Rasmussen, L., Poulsen, C. W., Kampmann, U., Smedegaard, S. B., Ovesen, P. G., & Fuglsang, J. (2020). Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus. Nutrients, 12(10), 3050. https://doi.org/10.3390/nu12103050

The information from the artifact can be used by the public to help create meals that help manage blood sugars when diagnosed with gestational diabetes in pregnancy.

The artifact shows inclusion of different cultures and diets. Robyn Compton provides catered diet recommendations for various cultures and diets, such as Asian, Indian and Middle Eastern. This helps pregnant women struggling with gestational diabetes adjust their diet to meet their health and cultural needs. This is key to providing patient centered care for pregnant patients facing gestational diabetes. 

The target audience is for patients diagnosed with gestational diabetes in the United Kingdom.

The article does include research and information from the World Health Organization (WHO). According to the below reference, evidence-based practice shows that optimal time for delivery can differ depending on if GDM is insulin or diet controlled and if the baby is large for gestational age (LGA). These recommendations range from 38 to 40 weeks and 6 days gestation. Dr. Sara Wickham argues differently that GDM pregnancies with LGA do not impact or influence the need for induction. She also does not explain the impacts of insulin vs diet controlled GDM on delivery risks or outcomes.

Reference

Li, X., Li, T. T., Tian, R. X., Fei, J. J., Wang, X. X., Yu, H. H., & Yin, Z. Z. (2023). Gestational diabetes mellitus: The optimal time of delivery. World journal of diabetes, 14(3), 179–187. https://doi.org/10.4239/wjd.v14.i3.179 

The author of this blog is trying to spread education and access to information on gestational diabetes. She is specifically addressing inductions with this diagnosis. Dr Sara Wickham is based in southwest England, which is the primary population she cares for and is addressing. In providing the information in the form of a blog, her information will reach a new set of audience around the world, which will guide other people's decision making around delivery planning with a gestational diagnosis. This article does influence people that inductions are not necessary in the setting of GDM and might lead to patients being more hesitant to have them. 

The blog helps pregnant mothers with gestational diabetes feel like they have a voice and autonomy over their delivery plan. Providing equity care to our patients means to be aware of patients preferences or specific needs and incorporate those when providing care. In the setting of delivery planning for patients with gestational diabetes, patients need to have their preferences and needs addressed.