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Item Managing Women with Gestational Diabetes (GDM): Clinical Realities in Ghana’ -(2018-10-30) Mensah, G.; Mensah, D.Pregnancy is believed not to be a disease but a normal physiological process for the majority of women. These women, their families and significant others normally expect a successful period of pregnancy, labour, delivery and a normal and healthy baby. However, some of these pregnant women develop Gestational Diabetes Mellitus (GDM) during this period and if not managed properly, the mother and the foetus in utero are affected in a negative way and there is a likelihood of the mother and baby developing Type 2 Diabetes in the near future. In order to prevent such occurrences, the researcher set out to explore the perceptions of midwives on the nursing management of GDM; in addition, women with a history of GDM were interviewed so as to elicit their views on the management they had experienced from professional nurses and midwives before and after being diagnosed with GDM. The design for this research was qualitative, explorative, descriptive and contextual in nature and purposive sampling technique was employed. Data was collected through semi-structured individual interviews. Fifteen (15) participants (8 midwives and 7 patients) were recruited for this study. The data collected from the interviews were audio recorded and transcribed verbatim, analysed, extracted and Tesch’s eight steps of coding was used for the coding during the Thematic content analysis. Themes that emerged were: 1. Participants expressed aspects that are critical to the management of women with GDM; 2. The importance of optimising quality of care by professional nurses and midwives in the management of women with GDM was emphasised; 3. Inadequate healthcare resources compromise the management of women with GDM. The presentation will discuss in-depth the clinical realities around the thematic areas identified.