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  5. A National Survey of implementation for Guidelines for Gestational Diabetes Mellitus
 
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A National Survey of implementation for Guidelines for Gestational Diabetes Mellitus

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Author(s)
O'Higgins, Amy 
Dunne, F. 
Lee, B. 
Smith, D. 
Turner, Michael 
Uri
http://hdl.handle.net/10197/9269
Date Issued
August 2014
Date Available
26T19:13:46Z February 2018
Abstract
In 2010, national guidelines for the management of gestational diabetes mellitus (GDM) were published by the Health Service Executive (HSE). In 2012, a questionnaire was distributed to all maternity units to survey implementation of the guidelines. All units screened women for GDM, but used different screening tests with fifteen units (79%) using the recommended 75g OGTT, three units (16%) using a 100g OGTT and one unit (5%) using a 50g glucose challenge test. Optimal outcomes are best achieved through multidisciplinary diabetes-obstetric care and this was available in nine of the units (47%). The prevalence of GDM varied from 2.2     7.4%. Insulin usage varied from 15-56%. Six centres (31%) had not implemented the national guidelines in full because of lack of resources. Despite national endorsement of the guideline, significant variations remain in implementation. This may lead to differences in clinical outcomes depending on where a woman attends for obstetric care.
Type of Material
Journal Article
Publisher
Irish Medical Organisation
Journal
Irish Medical Journal
Volume
107
Start Page
231
End Page
233
Keywords
  • National survey

  • Guidelines

  • Gestational diabetes ...

Web versions
http://archive.imj.ie//ViewArticleDetails.aspx?ArticleID=12744
Language
English
Status of Item
Peer reviewed
This item is made available under a Creative Commons License
https://creativecommons.org/licenses/by-nc-nd/3.0/ie/
Owning collection
Medicine Research Collection
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1159
Acquisition Date
Jan 29, 2023
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