Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, India
<em>Background</em>. Screening and timely treatment of gestational hyperglycaemia (GH) is proved to be beneficial and improves maternal and foetal health outcomes. To understand screening practices, we explored the knowledge and perceptions of doctors working in public health facilities...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2015-03-01
|
| Series: | Journal of Public Health Research |
| Subjects: | |
| Online Access: | http://www.jphres.org/index.php/jphres/article/view/448 |
| _version_ | 1797971391859916800 |
|---|---|
| author | Giridhara R. Babu B. Tejaswi M. Kalavathi G.M. Vatsala G.V.S. Murthy Sanjay Kinra Sara E. Benjamin Neelon |
| author_facet | Giridhara R. Babu B. Tejaswi M. Kalavathi G.M. Vatsala G.V.S. Murthy Sanjay Kinra Sara E. Benjamin Neelon |
| author_sort | Giridhara R. Babu |
| collection | DOAJ |
| description | <em>Background</em>. Screening and timely treatment of gestational hyperglycaemia (GH) is proved to be beneficial and improves maternal and foetal health outcomes. To understand screening practices, we explored the knowledge and perceptions of doctors working in public health facilities in Bangalore, India. We also studied participation factors by examining whether undergoing glucose estimation tests affects morning sickness in pregnant women. <br /><em>Design and Methods</em>. We aimed to understand the screening practices and knowledge of doctors. A semi-structured questionnaire was self-administered by the 50 participant doctors, selected from the sampling frame comprising of all the doctors working in public health facilities. We included 105 pregnant women for baseline assessment, in whom a well-structured questionnaire was used. <br /><em>Results</em>. We reported that gestational diabetes mellitus (GDM) screening was done in nearly all the health centres (96%). However, only 12% of the doctors could provide all components of GDM diagnosis and management correctly and 46% would diagnose by using a random blood glucose test. A majority (92%) of the doctors had poor knowledge (68%) about the cut-off values of glucose tests. More than 80% of pregnant women experienced some discomfort mostly due to rapid ingestion glucose in short span of time. <br /><em>Conclusions.</em> Our study established that screening for GH is done in most public health facilities. Nonetheless, knowledge of doctors on the glucose tests and their interpretation needs improvement. Re-orientation trainings of the doctors can improve their knowledge and thereby can efficiently screen for GH. Further, adequate planning prior to the tests can aid successful completion of them. |
| first_indexed | 2024-04-11T03:31:55Z |
| format | Article |
| id | doaj.art-080c89a503664da48e58bb05c92a4eec |
| institution | Directory Open Access Journal |
| issn | 2279-9028 2279-9036 |
| language | English |
| last_indexed | 2024-04-11T03:31:55Z |
| publishDate | 2015-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Public Health Research |
| spelling | doaj.art-080c89a503664da48e58bb05c92a4eec2023-01-02T06:06:53ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362015-03-014110.4081/jphr.2015.448104Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, IndiaGiridhara R. Babu0B. Tejaswi1M. Kalavathi2G.M. Vatsala3G.V.S. Murthy4Sanjay Kinra5Sara E. Benjamin Neelon6Public Health Foundation of India, IIPH-H, Bangalore CampusPublic Health Foundation of India, IIPH-H, Bangalore CampusPublic Health Foundation of India, IIPH-H, Bangalore CampusBruhat Bangalore Maha Nagara PalikeDepartment of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical MedicineDepartment of Non-communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical MedicineDepartment of Community and Family Medicine, Duke University Medical Center and Duke Global Health Institute, Durham, NC<em>Background</em>. Screening and timely treatment of gestational hyperglycaemia (GH) is proved to be beneficial and improves maternal and foetal health outcomes. To understand screening practices, we explored the knowledge and perceptions of doctors working in public health facilities in Bangalore, India. We also studied participation factors by examining whether undergoing glucose estimation tests affects morning sickness in pregnant women. <br /><em>Design and Methods</em>. We aimed to understand the screening practices and knowledge of doctors. A semi-structured questionnaire was self-administered by the 50 participant doctors, selected from the sampling frame comprising of all the doctors working in public health facilities. We included 105 pregnant women for baseline assessment, in whom a well-structured questionnaire was used. <br /><em>Results</em>. We reported that gestational diabetes mellitus (GDM) screening was done in nearly all the health centres (96%). However, only 12% of the doctors could provide all components of GDM diagnosis and management correctly and 46% would diagnose by using a random blood glucose test. A majority (92%) of the doctors had poor knowledge (68%) about the cut-off values of glucose tests. More than 80% of pregnant women experienced some discomfort mostly due to rapid ingestion glucose in short span of time. <br /><em>Conclusions.</em> Our study established that screening for GH is done in most public health facilities. Nonetheless, knowledge of doctors on the glucose tests and their interpretation needs improvement. Re-orientation trainings of the doctors can improve their knowledge and thereby can efficiently screen for GH. Further, adequate planning prior to the tests can aid successful completion of them.http://www.jphres.org/index.php/jphres/article/view/448hyperglycaemia, universal screening, non-communicable disease, public health facilities |
| spellingShingle | Giridhara R. Babu B. Tejaswi M. Kalavathi G.M. Vatsala G.V.S. Murthy Sanjay Kinra Sara E. Benjamin Neelon Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, India Journal of Public Health Research hyperglycaemia, universal screening, non-communicable disease, public health facilities |
| title | Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, India |
| title_full | Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, India |
| title_fullStr | Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, India |
| title_full_unstemmed | Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, India |
| title_short | Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, India |
| title_sort | assessment of screening practices for gestational hyperglycaemia in public health facilities a descriptive study in bangalore india |
| topic | hyperglycaemia, universal screening, non-communicable disease, public health facilities |
| url | http://www.jphres.org/index.php/jphres/article/view/448 |
| work_keys_str_mv | AT giridhararbabu assessmentofscreeningpracticesforgestationalhyperglycaemiainpublichealthfacilitiesadescriptivestudyinbangaloreindia AT btejaswi assessmentofscreeningpracticesforgestationalhyperglycaemiainpublichealthfacilitiesadescriptivestudyinbangaloreindia AT mkalavathi assessmentofscreeningpracticesforgestationalhyperglycaemiainpublichealthfacilitiesadescriptivestudyinbangaloreindia AT gmvatsala assessmentofscreeningpracticesforgestationalhyperglycaemiainpublichealthfacilitiesadescriptivestudyinbangaloreindia AT gvsmurthy assessmentofscreeningpracticesforgestationalhyperglycaemiainpublichealthfacilitiesadescriptivestudyinbangaloreindia AT sanjaykinra assessmentofscreeningpracticesforgestationalhyperglycaemiainpublichealthfacilitiesadescriptivestudyinbangaloreindia AT saraebenjaminneelon assessmentofscreeningpracticesforgestationalhyperglycaemiainpublichealthfacilitiesadescriptivestudyinbangaloreindia |