Preferred Name

Connie Van Baah

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

Date of Graduation


Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing


Maria deValpine

Jeannie Garber


The occurrence of Gestational Diabetes Mellitus (GDM) has significantly increased globally, as has the threat of GDM recurrence in subsequent pregnancies. GDM recurrence rate can range from 40% to 73% in some populations. GDM is associated with acute maternal health problems and long-term diseases, such as type II diabetes and recurrent GDM. Fetuses and infants of mothers with GDM can experience primary health complications early and late in life. Although lifestyle changes such as healthy eating and physical activity in high-risk patients are effective in reducing diabetes risk factors, limited attention has been paid to the possible benefits of translating these interventions into routine clinical practice to reduce recurrent GDM. The current approach at Women First OBGYN (WFOG) has been inadequate so far, which may have resulted in an increase in the rate of recurrent GDM from 5% to 10% in 2019. Lifestyle modification interventions within a multicultural private obstetrical practice were planned. The PRECEDE-PROCEED planning model was used to develop, implement, and evaluate the program at WFOG. The lifestyle changes consisted of a core curriculum for the first two weeks and a maintenance program for eight weeks. Outcomes evaluated include maternal physical activity, nutrition, weight gain, and patient satisfaction. Considering all the data collected throughout the implementation of the lifestyle changes, the program was implemented successfully. Successful implementation of the program and participants' satisfaction with the lifestyle modification program are essential results of this project at WFOG.

Keywords: Recurrent gestational diabetes, program evaluation, lifestyle modification in pregnancy, prevention, health promotion, multicultural obstetrical practice.

Available for download on Thursday, January 30, 2025