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A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic

Introduction: Proper gestational diabetes mellitus (GDM) care is essential for optimal control and thus prevents ad-verse perinatal outcomes. This audit aimed to determine the quality of GDM care provided by a public polyclinic. Methods: The audit was performed on the clinic-based medical record of...

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Main Authors: Hassan, Faezah, Ching, Siew Mooi, Ling, Poh Cheng, Jaffar, Nurhidayah, Lee, Kai Wei
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2019
Online Access:http://psasir.upm.edu.my/id/eprint/69557/1/2019060311320210_MJMHS_June_2019.pdf
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spelling oai:psasir.upm.edu.my:69557 http://psasir.upm.edu.my/id/eprint/69557/ A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic Hassan, Faezah Ching, Siew Mooi Ling, Poh Cheng Jaffar, Nurhidayah Lee, Kai Wei Introduction: Proper gestational diabetes mellitus (GDM) care is essential for optimal control and thus prevents ad-verse perinatal outcomes. This audit aimed to determine the quality of GDM care provided by a public polyclinic. Methods: The audit was performed on the clinic-based medical record of GDM patients who had undergone at least three prenatal follow-ups and one postnatal follow-up between January and November 2012. Patients with pre-existing diabetes mellitus were excluded. Results: A total of 74 medical records were audited and it showed that 94.6% of patients were of age 25 and above, 91.9% were Malays, 71.6% were multigravida and 98.6% had risk factors of GDM. 54.1% of diagnoses were made during the second trimester, while 25.7% and 20.2% of cases were detected during the first and third trimester respectively. All of the GDM patients had their weight and blood pressure monitored, 85.1% had their fundal height checked as scheduled and 85.1% were referred for diet counselling. 81.9% and 100% of GDM patients who were not on treatment and on treatment correspondingly had their blood sugar profile monitoring done as recommended. Only 13.5% of GDM patients were given prenatal family planning counselling and 35.1% were given a six weeks’ postnatal oral glucose tolerance test appointment. Monthly ultrasound screening and HbA1c monitoring was done in merely 51.4% and 58.1% of the GDM patients respectively. Conclusion: The GDM care process in this public polyclinic could be improved further to achieve the standard recommendations. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/69557/1/2019060311320210_MJMHS_June_2019.pdf Hassan, Faezah and Ching, Siew Mooi and Ling, Poh Cheng and Jaffar, Nurhidayah and Lee, Kai Wei (2019) A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic. Malaysian Journal of Medicine and Health Sciences, 15 (2). pp. 69-76. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2019060311320210_MJMHS_June_2019.pdf
institution UPM IR
collection UPM IR
language English
description Introduction: Proper gestational diabetes mellitus (GDM) care is essential for optimal control and thus prevents ad-verse perinatal outcomes. This audit aimed to determine the quality of GDM care provided by a public polyclinic. Methods: The audit was performed on the clinic-based medical record of GDM patients who had undergone at least three prenatal follow-ups and one postnatal follow-up between January and November 2012. Patients with pre-existing diabetes mellitus were excluded. Results: A total of 74 medical records were audited and it showed that 94.6% of patients were of age 25 and above, 91.9% were Malays, 71.6% were multigravida and 98.6% had risk factors of GDM. 54.1% of diagnoses were made during the second trimester, while 25.7% and 20.2% of cases were detected during the first and third trimester respectively. All of the GDM patients had their weight and blood pressure monitored, 85.1% had their fundal height checked as scheduled and 85.1% were referred for diet counselling. 81.9% and 100% of GDM patients who were not on treatment and on treatment correspondingly had their blood sugar profile monitoring done as recommended. Only 13.5% of GDM patients were given prenatal family planning counselling and 35.1% were given a six weeks’ postnatal oral glucose tolerance test appointment. Monthly ultrasound screening and HbA1c monitoring was done in merely 51.4% and 58.1% of the GDM patients respectively. Conclusion: The GDM care process in this public polyclinic could be improved further to achieve the standard recommendations.
format Article
author Hassan, Faezah
Ching, Siew Mooi
Ling, Poh Cheng
Jaffar, Nurhidayah
Lee, Kai Wei
spellingShingle Hassan, Faezah
Ching, Siew Mooi
Ling, Poh Cheng
Jaffar, Nurhidayah
Lee, Kai Wei
A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic
author_facet Hassan, Faezah
Ching, Siew Mooi
Ling, Poh Cheng
Jaffar, Nurhidayah
Lee, Kai Wei
author_sort Hassan, Faezah
title A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic
title_short A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic
title_full A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic
title_fullStr A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic
title_full_unstemmed A clinical audit of the process of care for women with gestational diabetes mellitus in a Malaysian public polyclinic
title_sort clinical audit of the process of care for women with gestational diabetes mellitus in a malaysian public polyclinic
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2019
url http://psasir.upm.edu.my/id/eprint/69557/1/2019060311320210_MJMHS_June_2019.pdf
_version_ 1782757650342084608
score 12.935284

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