Universal Screening For Gestational Diabetes Mellitus In Antenatal Mothers Improves Antenatal Management And Outcomes – Single Centre Experience
https://doi.org/10.37268/mjphm/vol.21/no.1/art.798
- Author:
Nicholas Lee Wen Sheng
1
;
Daniel Wong Bang Lung
2
;
Safurah Jaafar
3
;
Sangeetha
4
,
5
;
Tiffany Grace Wong
6
;
Salmiah Md Sharif
7
Author Information
1. School of Medicine, University of Tasmania, Level 1, Medical Science 1, 17 Liverpool St, Hobart TAS 7000, Australia.
2. School of Medicine, International Medical University, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.
3. Community Medicine, International Medical University, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.
4. Division of Nutrition &
5. Dietetics, School of Health Sciences, International Medical University, and, Centre for Translational Research, IMU Institute for Research, Development, and Innovations (IRDI), International Medical University 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.
6. School of Medicine, University of Glasgow, University Avenue, Glasgow G12 8QQ, United Kingdom.
7. Seremban Health Clinic, Jalan Rasah, Bukit Rasah, 70300 Seremban, Negeri Sembilan, Malaysia
- Publication Type:Journal Article
- Keywords:
Universal screening, selective screening, gestational diabetes mellitus, antenatal mothers
- From:Malaysian Journal of Public Health Medicine
2021;21(1):230-238
- CountryMalaysia
- Language:English
-
Abstract:
This study examined the impact of universal screening in diagnosing and managing gestational diabetes (GDM) amongst antenatal mother and associated neonatal outcomes. It is a single-centre, retrospective study on routinely collected data of antenatal women in Health Clinic Seremban over one year in 2018. All women diagnosed with GDM, who were not known sufferers of type 1 or type 2 diabetes were included in this study. Participants were stratified according to risk factors for GDM to compare the performance of a selective high-risk screening approach to that of universal screening for detecting GDM. Subjects were categorized as high-risk for GDM based on the guidelines recommended by the Malaysian Clinical Practice guidelines. It was found that through universal screening, 246 antenatal mothers were tested positive for GDM out of the 987 of these mothers without prior diabetes, giving a prevalence of 24.9%. If selective screening using traditional risk factors had been employed, 54 (22%) of the antenatal mothers diagnosed with GDM would have been missed. It was established that risk factors for GDM included advancing age, other ethnicities (patients that are not of Malay, Chinese nor Indian ethnicities), obesity, history of abortion or GDM and family history of diabetes mellitus. Neonatal outcomes of those with GDM as compared to those without were similar. This study highlights that universal screening improved GDM detection rates amongst antenatal mothers. The increased detection helped facilitate an earlier intervention which may have contributed to better antenatal management and outcomes for neonates and their mothers.
- Full text:22.2021my0591.pdf
