Specific information about the WHO guidelines for gestational diabetes screening improves clinical practices
- 16 January 2008
- journal article
- research article
- Published by Wiley in Journal of Evaluation in Clinical Practice
- Vol. 14 (1), 36-42
- https://doi.org/10.1111/j.1365-2753.2007.00783.x
Abstract
RATIONALE, AIMS AND OBJECTIVE: To evaluate the impact of specific information on World Health Organization (WHO) guidelines for gestational diabetes mellitus (GDM) screening on clinical practices and to estimate its acceptance by women. METHODS: A non-randomized interventional study, comparing two periods, that is, before (period I) and after (period II) the implementation of the WHO guidelines during year 2000 in three obstetrical units, using reminders, meetings and pre-printed prescription sheets. Women were interviewed on GDM screening acceptance. RESULTS: A total of 333 pregnant women were included in period I and 345 in period II. The proportion of women who were screened significantly increased between period I and period II (0.9% in period I, 59.1% in period II, P < 10(-3)). The screening test was realized in accordance with guidelines for 80% of women in period II. The acceptability of the test by women was estimated at 98%. Furthermore, 90% of them would accept to be screened again during another pregnancy. DISCUSSION: Specific information about WHO screening guidelines improves doctor practices. Moreover, the high rate of acceptance by women is an argument to promote more widespread WHO screening for GDM during pregnancyKeywords
This publication has 20 references indexed in Scilit:
- Effect of Treatment of Gestational Diabetes Mellitus on Pregnancy OutcomesThe New England Journal of Medicine, 2005
- Gestational diabetes: The consequences of not treatingAmerican Journal of Obstetrics and Gynecology, 2005
- Perinatal Morbidity in Women with Undiagnosed Gestational Diabetes in Northern Thuringia in GermanyExperimental and Clinical Endocrinology & Diabetes, 2005
- An Increase in the Incidence of Gestational Diabetes Mellitus: Northern California, 1991–2000Obstetrics & Gynecology, 2004
- Prenatal screening for infectious diseases and opportunities for preventionObstetrics & Gynecology, 2003
- Why Don't Physicians Follow Clinical Practice Guidelines?JAMA, 1999
- The 75 g oral glucose tolerance in pregnancyDiabetes Research and Clinical Practice, 1995
- Patients' Attitudes Toward Screening for Gestational Diabetes Mellitus in the Illawarra Area, AustraliaDiabetes Care, 1993
- Gestational diabetes and impaired glucose tolerance of pregnancy in RiyadhBJOG: An International Journal of Obstetrics and Gynaecology, 1988