Barriers in determining prevalence of type 2 diabetes mellitus among postpartum GDM: The research and retraining needs of healthcare professionals

E. U. Nwose, M. Mogbusiaghan, P. T. Bwititi, G. Adoh, O. Agofure, Eunice O Igumbor

Research output: Contribution to journalArticle

Abstract

Aim: A 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 methods: This 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. Results: Critical 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. Conclusions: There 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.

Original languageEnglish
Pages (from-to)2533-2539
Number of pages7
JournalDiabetes and Metabolic Syndrome: Clinical Research and Reviews
Volume13
Issue number4
DOIs
Publication statusPublished - 08 Jul 2019

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Type 2 Diabetes Mellitus
Postpartum Period
Delivery of Health Care
Research
Blood Glucose
Urinalysis
Gestational Diabetes
First Pregnancy Trimester
Checklist
Developing Countries
Gestational Age
Medical Records
Observational Studies
Obesity
Hypertension
Lipids
Pregnancy
Health

Cite this

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title = "Barriers in determining prevalence of type 2 diabetes mellitus among postpartum GDM: The research and retraining needs of healthcare professionals",
abstract = "Aim: A 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 methods: This 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. Results: Critical 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. Conclusions: There 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.",
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Barriers in determining prevalence of type 2 diabetes mellitus among postpartum GDM : The research and retraining needs of healthcare professionals. / Nwose, E. U.; Mogbusiaghan, M.; Bwititi, P. T.; Adoh, G.; Agofure, O.; Igumbor, Eunice O.

In: Diabetes and Metabolic Syndrome: Clinical Research and Reviews, Vol. 13, No. 4, 08.07.2019, p. 2533-2539.

Research output: Contribution to journalArticle

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 - Aim: A 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 methods: This 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. Results: Critical 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. Conclusions: There 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 - Aim: A 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 methods: This 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. Results: Critical 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. Conclusions: There 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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SN - 1871-4021

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