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 language | English |
|---|---|
| Pages (from-to) | 2533-2539 |
| Number of pages | 7 |
| Journal | Diabetes and Metabolic Syndrome: Clinical Research and Reviews |
| Volume | 13 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 08 Jul 2019 |
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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 journal › Article
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
UR - http://www.scopus.com/inward/record.url?scp=85068750634&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85068750634&partnerID=8YFLogxK
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 -