RESUMO
Gestational diabetes is a condition that complicates 2% to 5% of all pregnant women. When gestational diabetes occurs, health implications occur for the mother and infant not only during pregnancy and birth but for the long term as well. In order to minimize the higher prevalence of gestational diabetes in Egypt, proper care and diet, perhaps the most favorable approach to control. The purpose of this study was to examine the efficacy of teaching strategies [auto and Agent] on the maternal and fetal outcomes among gestational diabetic women. A quasi - experimental design was utilized to study the phenomena under investigation. The study sample was included 90 gestational diabetic women [divided into three equal group: two care given groups and one control groups]. Demographic recording sheet, structure knowledge interview [pre-post test], observational checklist and evaluation sheet for maternal and fetal outcomes, data form were used to collect data pertinent to the study. Orem model was a conceptual framework. The results of the study evidenced that teaching and practiced self-care for diabetic pregnant woman were beneficial for improvement of maternal and fetal outcomes. Statistical analysis revealed a significant difference between two care given groups and control group, regarding to improvement of glucose level [X[2] = 17.8, p = < 0.006] and development of complication such as pre-eclampsia and eclampsia [X[2]= 5.7, p = < 0.005]. The same finding was evident in relation to fetal outcome. The majority of infant of two care given groups had high Apgar score, had appropriate weight for gestational age and less death rate of babies than control group. The study implicated the importance of client participation in management of gestational diabetes and planned health education for developing self care abilities for pregnant diabetic women