THE CURRENT PRACTICES FOR TESTING FOR HYPERGLYCAEMIA IN PREGNANCY (HIP) IN THE MEDICAL COLLEGE INSTITUTIONS IN INDIA

Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 30

Abstract

BACKGROUND The aim of the study is to determine the current practices in the medical college institutions pan India for testing for Hyperglycaemia in Pregnancy (HIP) to detect gestational diabetes and highlight areas that need additional attention in order to ensure adherence to current national guidelines. MATERIALS AND METHODS Questionnaires were used to obtain information regarding the testing strategy for hyperglycaemia in pregnancy. The questionnaires were filled out by the teaching faculty of the OB/GYN departments of 47 medical college institutions in India. The perceptions regarding the prevalence of diabetes in pregnancy in India and the needs for capacity building were assessed. RESULTS Forty seven respondents answered the questionnaires. The majority of respondents (95.83%) reported that all pregnant women were offered (universal) testing for hyperglycaemia in pregnancy and 37.5% reported that women were screened both in early and midtrimester of pregnancy. Most reported that testing for HIP took place once at booking, irrespective of the gestational age (39.58%). Thirty three (70.21%) respondents reported using the single-step nonfasting method to diagnose hyperglycaemia. Furthermore, 21.28% of respondents reported using a glucometer to determine the concentration of blood glucose in plasma, while 68.08% reported using a lab analyser. The instructions for the testing were offered by consultants and postgraduates in a vast majority of cases (87.5%). The staff communicated with the women in a significantly less number of cases (12.5%). 65.96% of respondents felt that all women readily agreed to follow this advice. The majority of respondents (89.35%) reported having noticed an increase in the number of women with hyperglycaemia. Furthermore, 91% of all the respondents felt there was a need to train medical personnel to test and manage hyperglycaemia. CONCLUSION Our study confirms the continued wide variability in testing for HIP in India with respect to timing and frequency. It highlights the need for training initiatives to improve adherence to national guidelines. Clinical Significance- Increasing adherence to and awareness of national guidelines has the potential to result in earlier diagnosis and management of HIP. This would have an impact, which would improve pregnancy outcomes, maternal and neonatal health both in the short term as well as long term. Building the capacity of the available resource pool of healthcare providers including the staff nurses would empower them by for better communication. This would improve compliance for testing and follow up.

Authors and Affiliations

Hema Divakar, Shelly Dutta, Uday Thanawala

Keywords

Related Articles

MANAGEMENT OF INTERTROCHANTERIC FRACTURE WITH DYNAMIC HIP SCREW- A GOLD STANDARD DEVICE

BACKGROUND The dynamic compression screw and plate is a gold standard device in the management of intertrochanteric fracture fixation. The problems of bedsores, DVT, lung complications, joint stiffness and malunion are v...

CLINICO-PATHOLOGICAL STUDY OF CARCINOMA OF PENIS

Carcinoma of penis is a tumor with devastating psycho sexual repercussions on the patient. It was reported from different parts of the world with wide variation in incidence. Several factors were considered as inducing a...

CORRELATION BETWEEN SERUM HSCRP AND CORONARY ARTERY DISEASE SEVERITY IN PATIENTS WITH ACUTE STEMI

BACKGROUND CRP levels increase after acute myocardial infarction (AMI) but their changes in the process of an acute ischemic attack has been studied mainly in patients with non-ST elevation MI. It seems that elevated lev...

PATHOLOGICAL INTRACAPSULAR FRACTURE OF NECK FEMUR IN A YOUNG PATIENT: REPORT OF AN INNOVATIVE METHOD OF FIXATION WITH REVIEW OF LITERATURE

When there is the need to salvage the head of femur in a young patient with pathological intracapsular fracture of neck femur, the options are limited and there are not too many references in contemporary literatures. Tr...

CLINICAL STUDY OF MECONIUM STAINED LIQUOR AT TERM PREGNANCY

Meconium stained amniotic fluid has traditionally heralded imminent or existing fetal compromise yet neonatal passage of the first meconium stool signals the onset of healthy gastro intestinal function. Meconium if aspir...

Download PDF file
  • EP ID EP217901
  • DOI 10.18410/jebmh/2017/347
  • Views 76
  • Downloads 0

How To Cite

Hema Divakar, Shelly Dutta, Uday Thanawala (2017). THE CURRENT PRACTICES FOR TESTING FOR HYPERGLYCAEMIA IN PREGNANCY (HIP) IN THE MEDICAL COLLEGE INSTITUTIONS IN INDIA. Journal of Evidence Based Medicine and Healthcare, 4(30), 1786-1790. https://europub.co.uk./articles/-A-217901