A Clinical Audit of the Process of Care for Women with Gestational Diabetes Mellitus in a Malaysian Public Polyclini
Malaysian Journal of Medicine and Health Sciences
;
: 69-76, 2019.
Article
Dans Anglais
| WPRIM
| ID: wpr-750757
ABSTRACT
@#Introduction:
Proper gestational diabetes mellitus (GDM) care is essential for optimal control and thus prevents adverse perinatal outcomes. This audit aimed to determine the quality of GDM care provided by a public polyclinic.Methods:
The audit was performed on the clinic-based medical record of GDM patients who had undergone at least three prenatal follow-ups and one postnatal follow-up between January and November 2012. Patients with pre-existing diabetes mellitus were excluded.Results:
A total of 74 medical records were audited and it showed that 94.6% of patients were of age 25 and above, 91.9% were Malays, 71.6% were multigravida and 98.6% had risk factors of GDM. 54.1% of diagnoses were made during the second trimester, while 25.7% and 20.2% of cases were detected during the first and third trimester respectively. All of the GDM patients had their weight and blood pressure monitored, 85.1% had their fundal height checked as scheduled and 85.1% were referred for diet counselling. 81.9% and 100% of GDM patients who were not on treatment and on treatment correspondingly had their blood sugar profile monitoring done as recommended. Only 13.5% of GDM patients were given prenatal family planning counselling and 35.1% were given a six weeks’ postnatal oral glucose tolerance test appointment. Monthly ultrasound screening and HbA1c monitoring was done in merely 51.4% and 58.1% of the GDM patients respectively.Conclusion:
The GDM care process in this public polyclinic could be improved further to achieve the standardrecommendations:
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Diabète gestationnel
Type d'étude:
Guide de pratique
/
Facteurs de risque
langue:
Anglais
Texte intégral:
Malaysian Journal of Medicine and Health Sciences
Année:
2019
Type:
Article
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