Obstetrics and Gynaecology
Objective: To assess the adherence level of obstetricians towards postpartum diabetes screening guidelines.
Methods: The quasi-experimental pre- and post-intervention study was conducted from May 2014 to April 2015 at Aga Khan Hospital for Women-Karimabad, Karachi, and comprised all obstetricians practicing at the time. All the booked women with gestational diabetes delivered in the 6 months before refresher lecture (group 1) and those delivering in the 6 months following the intervention (group 2) were included. Data was analysed using SPSS 19.
Results: Of the 550 cases, 275(50%) each were in groups 1 and 2. All pregnant women had live-birth. The intervention made it thrice likely (95% confidence interval: 7.83) that a physician advised postpartum oral glucose tolerance test. Caesarean section increased the chances of getting test advice almost 4 times (95% confidence interval: 1.70, 9.10) compared to women who delivered vaginally. Women managed on insulin with / without metformin were 4 times likely to being advised the test compared to women managed on diet (confidence interval: 1.00, 17.09). Full-time employees advised 7 times more than the visiting obstetricians (confidence interval: 1.33, 35.16).
Conclusion: It is time for more strategic planning regarding patient education the benefits of detection of abnormal glucose tolerance in early postpartum period
JPMA. The Journal of the Pakistan Medical Association
Razzaqui, S. M.,
Nisa Memon, Z. u.,
(2019). Assessing the adherence of obstetricians towards postpartum diabetes screening guidelines: A pre- and post-intervention study at secondary care hospital in Karachi, Pakistan. JPMA. The Journal of the Pakistan Medical Association, 69(11), 1673-1676.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_obstet_gynaecol/198