Publication

Need for enhanced glucose screening in pregnant women in Indonesia

Fitria, N., Van Asselt, A. & Postma, M. J., 1-Nov-2016, In : Value in Health. 19, 7, p. 896 1 p.

Research output: Contribution to journalMeeting AbstractAcademic

Objectives: Maternal and child health is an important global public-health issue. Gestational Diabetes mellitus (GDM) is one of the challenges faced in this area. According to the American Diabetes Association guidelines, pregnant women should be screened for hyperglycemia before 24-week gestational age, but this is not yet common practice in Indonesia. According to the Indonesian Demographic Health (Riskesdas) survey in 2007, 0.2% of newborns in West Sumatera have diabetes mellitus. Furthermore, 6.4% of women in child-bearing age were found to have hyperglycemia in 2013. Most women are not aware of the possibility for glucose screening in early pregnancy. This study aims to explore clinical practice concerning diabetes screening early in pregnancy. Methods: A- retrospective study using a patient database of 2014 - 2015 in the Ahmad Mochtar hospital (Bukittinggi-Indonesia) was conducted. All mothers diagnosed with GDM were included in this research. They were grouped into before 24 -weeks diagnosis (through screening) and after 24 -weeks diagnosed GDM screening (after complications). The number of live births and modes of delivery in both groups were described. Results: From 24 patients with GDM during 2014-2015 in Ahmad Mochtar hospital, three patients came to the first prenatal visit for a hyperglycemic test before 24 -weeks and the rest came after 24 -weeks of pregnancy. The percentage of live births resulting from the current pregnancy in all GDM patients was 95.8%; no still births and one miscarriage in the early screening group. The number of C-section in this study was 58.3%, with all the babies in the early diagnosis group delivered through C-section. Conclusions: The fact that only three patients out of 24 had early diagnosis is indicative of poor awareness of the possibility of screening. Comprehensive action is necessary to increase access to diabetes screening in early pregnancy, next to assessing its costeffectiveness.
Original languageEnglish
Pages (from-to)896
Number of pages1
JournalValue in Health
Volume19
Issue number7
Publication statusPublished - 1-Nov-2016

    Keywords

  • glucose, awareness, child, clinical article, clinical practice, complication, data base, diabetic patient, diagnosis, early diagnosis, female, first trimester pregnancy, hospital, human, hyperglycemia, Indonesia, infant, live birth, male, mother, newborn, pregnancy diabetes mellitus, pregnant woman, rest, retrospective study, screening, spontaneous abortion, stillbirth

View graph of relations

ID: 47646302