Article: Prevalence of Hyperglycemia in Pregnancy and Related Screening Practices in Rural Dehradun: The First Population-Based Study from Uttarakhand (PGDRD-1).
Indian journal of endocrinology and metabolism
2023 Volume 27, Issue 2, Page(s) 145–153
Abstract: Aims: Phase I of the : Methods: Using a multistage random sampling technique, 1,223 pregnant women locally registered in the rural field practice area of a block were identified. Those requiring HIP screening were subjected to a 2-h 75 g oral glucose ...
Abstract | Aims: Phase I of the Methods: Using a multistage random sampling technique, 1,223 pregnant women locally registered in the rural field practice area of a block were identified. Those requiring HIP screening were subjected to a 2-h 75 g oral glucose tolerance test during the house visit irrespective of their period-of-gestation and last meal timings, diagnosed using the Diabetes in Pregnancy Study Group India (DIPSI) criterion (when indicated). Data were collected by personal interviews using a pretested data collection tool. Statistical Package for Social Sciences version 20.0 was used for analysis. Results: The overall HIP prevalence recorded was 9.7% (95% CI: 8.1-11.5%); the majority (95.8%) were GDM followed by overt DIP (4.2%). Less than 1% of the subjects (0.7%) self-reported pre-GDM. Despite this burden, more than three-fourths were never screened for HIP in their pregnancy. Of those tested, the majority availed secondary healthcare facilities. Few even had to bear expenses in private with a very handful being tested free-of-cost by ANM in the community; findings that altogether sharply contrast to those recommended by national protocols. Conclusion: Despite the high HIP burden, beneficiaries are unable to utilize community-related universal screening protocols as desired. |
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Language | English |
Publishing date | 2023-04-14 |
Publishing country | India |
Document type | Journal Article |
ZDB-ID | 2600211-5 |
ISSN | 2230-9500 ; 2230-8210 |
ISSN (online) | 2230-9500 |
ISSN | 2230-8210 |
DOI | 10.4103/ijem.ijem_459_22 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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