Gestational diabetes screening and management: the issues of GDM risk factors and phone number documentations

Background: Gestational diabetes mellitus (GDM) if unmanaged can complicate pregnancy outcomes. Selective
screening of GDM is a common policy hence, the need for complete medical records of patients. The extent and
pattern that documentation of patients’ records can impact GDM screening-by-telehealth requires elucidation. The
aim was to describe the effectiveness of phone contacts on medical records and GDM risk factors among a hospitalbased antenatal clinic setting
Methods: This was an observational study in which previously reported antenatal records of patients screened for
GDM were reviewed for effectiveness of phone contacts to do telehealth, and this was with simultaneous GDM risk
assessment. Data were analysed by descriptive frequency counting.
Results: On effectiveness of phone details on medical records, 41/98 cases were reached, of which 31.7% have three
or more GDM risk factors to fulfil selection criteria for laboratory screening of GDM. Prevalence of risk factors in
initial routine data collection (24.9%), previous history assessment (21.3%) and at antenatal monitoring phase
(37.8%), Among the 57/98 phone contacts that were unreached, 59.6% are switched off.
Conclusions: The observations highlight the need of concerted focus on policy and education, for both staff and
patients, to improve documentation of correct and valid telephone details in medical records.