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dc.contributor.authorO’Higgins, A
dc.contributor.authorDunne, F
dc.contributor.authorLee, B
dc.contributor.authorSmith, D
dc.contributor.authorTurner, MJ
dc.date.accessioned2014-09-19T11:50:06Z
dc.date.available2014-09-19T11:50:06Z
dc.date.issued2014-09
dc.identifier.citationO'Higgins A et al. A national survey of implementation of guidelines for gestational diabetes mellitus. IMJ. 2014 107(8)en_GB
dc.identifier.urihttp://hdl.handle.net/10147/326272
dc.description.abstractIn 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 â 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.
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.subjectPREGNANCYen_GB
dc.subjectDIABETES MELLITUSen_GB
dc.titleA national survey of implementation of guidelines for gestational diabetes mellitusen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
refterms.dateFOA2018-08-24T18:22:43Z
html.description.abstractIn 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 â 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.


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