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Oral Glucose Tolerance Test for Universal screening for Gestational Diabetes Mellitus

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creativeworkseries.issn1999-6217
dc.contributor.authorShrestha, Abha
dc.contributor.authorShakya, Rajani
dc.contributor.authorShrestha, Rabina
dc.contributor.authorKarki, Sulata
dc.contributor.authorDas, Seema
dc.contributor.authorShrestha, Priya
dc.contributor.authorRai, Anisha
dc.contributor.authorThapa, Saroj
dc.contributor.authorShrestha, Abha
dc.contributor.authorKarmacharya, Biraj
dc.date.accessioned2025-07-15T07:09:51Z
dc.date.available2025-07-15T07:09:51Z
dc.date.issued2024
dc.descriptionAbha Shrestha Department of Obstetrics and Gynaecology, Kathmandu University School of Medical Sciences Rajani Shakya Department of Biochemistry, Kathmandu University School of Medical Sciences Rabina Shrestha Research and Development Division, Dhulikhel Hospital Kathmandu University Hospital Sulata Karki Research and Development Division, Dhulikhel Hospital Kathmandu University Hospital Seema Das Research and Development Division, Dhulikhel Hospital Kathmandu University Hospital Priya Shrestha Research and Development Division, Dhulikhel Hospital Kathmandu University Hospital Anisha Rai Research and Development Division, Dhulikhel Hospital Kathmandu University Hospital Saroj Thapa Department of Biochemistry, Kathmandu University School of Medical Sciences Abha Shrestha Department of Community Medicine, Kathmandu University School of Medical Sciences Biraj Karmacharya Department of Public Health and Community Programs, Kathmandu University School of Medical Sciences
dc.description.abstractBackground: Gestational Diabetes Mellitus increased almost 30% in many countries, including underdeveloped countries and same in Nepal. Hospital-based studies in Nepal reported Gestational Diabetes Mellitus cases, with prevalence 2.48% in 2010 to 4.47% in 2019 emphasising on necessity of universal screening for Gestational Diabetes Mellitus. Methods: As part of implementation of Electronic Decision support System for Antenatal Care, in formative study clinical vignettes on Gestational Diabetes Mellitus case presented to six healthcare providers ( Incharges, Auxiliary Nurse, Midwives and Lab Assistants) from 3 primary healthcare facilities in Kavre and Dolakha districts, Nepal from October-December 2019. 19 Auxiliary Nurse, Midwives from 19 HCF of 4 districts (Kavre, Dolakha, Sindhuli, and Sindhupalchok, including where clinical vignette were applied trained to perform Oral Glucose Tolerance Test for 4 hours. In-depth Interviews conducted with 16 Auxiliary Nurse, Midwives (8 trained & 8 peer coached from selected 4 HCF to explore their perception & experiences of conducting Oral Glucose Tolerance Test and continuing it for future. Clinical vigenttes compared with PEN protocol and IDIs analyzed thematically. Results: Only 4/6 HCPs made probable diagnosis of Gestational Diabetes Mellitus. 217 Oral Glucose Tolerance Test performed, 24 found to have Gestational Diabetes Mellitus. In-depth Interviews showed Auxiliary Nurse, Midwives enthusiasts on implementing tests for Gestational Diabetes Mellitus and to continue what has been learnt in training. Some challenges; clients hesitate to stay 2 hours at facilities due to unavailability of transport and household work. Oral Glucose Tolerance Test trained Auxiliary Nurse, Midwives seem more confident in counselling and conducting Oral Glucose Tolerance Test than those peer coached. Conclusions: Administering Oral Glucose Tolerance Test seemed feasible in HCF settings despite some challenges. Training and continuing logistics supply from municipality level seems promising. Keywords: GDM: Nepal: OGTT:
dc.identifierhttps://doi.org/10.33314/jnhrc.v22i01.4905
dc.identifier.urihttps://hdl.handle.net/20.500.14572/219
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleOral Glucose Tolerance Test for Universal screening for Gestational Diabetes Mellitus
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
relation.isJournalIssueOfPublicationfb23c29b-322c-4f60-b235-911d72951916
relation.isJournalIssueOfPublication.latestForDiscoveryfb23c29b-322c-4f60-b235-911d72951916
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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