dc.contributor.author | KIPTINNESS, Sarah | |
dc.date.accessioned | 2021-03-10T11:53:09Z | |
dc.date.available | 2021-03-10T11:53:09Z | |
dc.date.issued | 2020-10-05 | |
dc.identifier.uri | http://ir.kabarak.ac.ke/handle/123456789/467 | |
dc.description | FULL TEXT | en_US |
dc.description.abstract | Gestational DM has been associated with increased risk of perinatal mortality
and morbidity however, screening recommendations are not clearly described in
Kenyan guidelines. Kenyan studies have shown wide-ranging prevalence rates for
GDM between 1.1% - 16.7% which reflects inconsistences in GDM screening
strategies. The purpose of this study is to assess the utility of the selective and
universal screening strategies in detecting GDM in AIC Kijabe Hospital. Methods
This was a cross-sectional retrospective and prospective study. Study participants
between 24- and 32-weeks’ gestation had a risk factor screening questionnaire
administered, followed by a 75g oral glucose tolerance test (OGTT) if appropriate.
Results A total of 343 were selectively screened for GDM from the retrospective data,
while 38 women were universally screened for GDM in the prospective arm of the
study. The detection of GDM was 13.2% and 2.6% in the universal and selective
screening strategies, respectively (p=0.016). Forty-three percent (42.9%) of GDM
cases were diagnosed in the absence of risk factors for GDM. Conclusion Universal
screening detects a significantly higher rate of GDM than the selective screening
strategy. Recommendations The Ministry of Health in Kenya should consider
adopting the universal screening strategy for GDM, for early diagnosis and prevention
of maternal and neonatal complications amongst pregnant women in Kenya. The true
prevalence of GDM in Kenya will be clearly defined once universal screening is
widely adopted. | en_US |
dc.description.sponsorship | AISEA | en_US |
dc.language.iso | en | en_US |
dc.publisher | KABARAK UNIVERSITY | en_US |
dc.subject | Gestational Diabetes Mellitus, Selective Screening, Universal Screening | en_US |
dc.title | Screening Strategies to Detect Gestational Diabetes Mellitus in AIC Kijabe Hospital, Kenya | en_US |
dc.type | Article | en_US |