TY - JOUR
T1 - Barriers in determining prevalence of type 2 diabetes mellitus among postpartum GDM
T2 - The research and retraining needs of healthcare professionals
AU - Nwose, E. U.
AU - Mogbusiaghan, M.
AU - Bwititi, P. T.
AU - Adoh, G.
AU - Agofure, O.
AU - Igumbor, Eunice O
PY - 2019/7/8
Y1 - 2019/7/8
N2 - AimA large percentage of gestational diabetes
(GDM) are undiagnosed, and prevalence of postpartum type 2 diabetes
(T2DM) is unknown, especially in developing countries. This study
assessed barriers to GDM diagnosis and postpartum follow-up; to
determine educational needs.Materials and methodsThis
was a clinical observational study of records and procedures of
antenatal services at two hospitals. Laboratory and medical records were
reviewed for availability of data on anthropometrics, blood glucose, gestational age, urinalysis,
and lipid profile for GDM register. Antenatal clinic protocol was
observed for GDM diagnosis. BMI was derived and data were analyzed using
SPSS version 20.ResultsCritical
barriers attributable to health systems included lack of screening for
blood sugar as part of routine antenatal protocol, and lack of GDM
registers at both facilities. There was 6.5% registration of pregnancies
in first trimester, 22% pre-pregnancy obesity, and 2.6% high blood pressure. Positive glucosuria cases were not followed-up for GDM diagnosis.ConclusionsThere is neither concerted effort to diagnose GDM, nor systematic records of screening and postpartum follow-up. The gap in diabetology
knowledge and practice calls for re-training of antenatal healthcare
professionals. GDM screening checklist needs to be established and
positive results entered into GDM registers for proper management during
and after delivery.
AB - AimA large percentage of gestational diabetes
(GDM) are undiagnosed, and prevalence of postpartum type 2 diabetes
(T2DM) is unknown, especially in developing countries. This study
assessed barriers to GDM diagnosis and postpartum follow-up; to
determine educational needs.Materials and methodsThis
was a clinical observational study of records and procedures of
antenatal services at two hospitals. Laboratory and medical records were
reviewed for availability of data on anthropometrics, blood glucose, gestational age, urinalysis,
and lipid profile for GDM register. Antenatal clinic protocol was
observed for GDM diagnosis. BMI was derived and data were analyzed using
SPSS version 20.ResultsCritical
barriers attributable to health systems included lack of screening for
blood sugar as part of routine antenatal protocol, and lack of GDM
registers at both facilities. There was 6.5% registration of pregnancies
in first trimester, 22% pre-pregnancy obesity, and 2.6% high blood pressure. Positive glucosuria cases were not followed-up for GDM diagnosis.ConclusionsThere is neither concerted effort to diagnose GDM, nor systematic records of screening and postpartum follow-up. The gap in diabetology
knowledge and practice calls for re-training of antenatal healthcare
professionals. GDM screening checklist needs to be established and
positive results entered into GDM registers for proper management during
and after delivery.
KW - Antenatal service
KW - GDM screening register
KW - Healthcare system
KW - Postpartum follow-up
KW - Staff re-training
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U2 - 10.1016/j.dsx.2019.07.002
DO - 10.1016/j.dsx.2019.07.002
M3 - Article
C2 - 31405673
AN - SCOPUS:85068750634
VL - 13
SP - 2533
EP - 2539
JO - Diabetes and Metabolic Syndrome: Clinical Research and Reviews
JF - Diabetes and Metabolic Syndrome: Clinical Research and Reviews
SN - 1871-4021
IS - 4
ER -
