Awareness about Community Management of Hyperglycemia during Pregnancy among Medical Undergraduates in Western Uttarakhand
DOI:
https://doi.org/10.47203/IJCH.2024.v36i01.017Keywords:
Knowledge, Cognitive, Gestational diabetes, Technical Guidelines, South AsiaAbstract
Background: All women with hyperglycemia in pregnancy (HIP) require optimal care. With western Uttarakhand alone recording a HIP prevalence of 9.7%, the successful implementation of HIP guidelines pan-India at primary healthcare level becomes paramount. Aim and objective: The present cross-sectional study aimed to assess the baseline awareness of medical undergraduates regarding HIP management protocols assuming higher their knowledge better the successful implementation of these guidelines within the community. Methodology: A descriptive study was carried out among 309 medical undergraduates at a private teaching institute in Uttarakhand. Data was collected using a self-administered, pre-tested questionnaire. Based on individual knowledge scores, participants were subdivided into: good (score?24), moderate (score 12-24), and poor (score<12) knowledge categories. Data were analyzed using Statistical Package for Social Sciences. Results: Most subjects (92.2%) reported reading Indian textbooks on obstetrics; despite this, only 3.6% of subjects had good awareness of the protocols. Sub-domain analysis showed while 90.0% of respondents had a fair understanding of the disease basics, more than two-thirds lagged in recollecting its standard diagnostic and management protocols including the role of health workers. Conclusion: Most medical undergraduates have overall poor-to-moderate awareness of HIP management especially the diagnostic and management protocols including the role of health workers.
Downloads
References
International Diabetes Federation. IDF Diabetes Atlas, 10th ed. Brussels, Belgium: International Diabetes Federation; 2021.
Kramer CK, Campbell S, Retnakaran R. Gestational diabetes and the risk of cardiovascular disease in women: a systematic review and meta-analysis. Diabetologia. 2019 Jun;62(6):905-914. DOI: 10.1007/s00125-019-4840-2. Epub 2019 Mar 7. PMID: 30843102.
Li KT, Naik S, Alexander M, Mathad JS. Screening and diagnosis of gestational diabetes in India: A systematic review and meta-analysis. Acta Diabetol.2018;55:613-25.
Mishra S, Semwal J, Srivastava A, Kumar Mishra S. Prevalence of hyperglycemia in pregnancy and related screening practices in Rural Dehradun: The First population-based study from Uttarakhand (PGDRD 1). Indian J Endocr Metab 2023;27:145 53.
Song C, Lyu Y, Li C, Liu P, Li J, Ma RC, et al. Long-term risk of diabetes in women at varying durations after gestational diabetes: a systematic review and meta-analysis with more than 2 million women. Obes Rev.2018;19(3):421–9
Bellamy L, Casas JP, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009;373(9677):1773-9. DOI: 10.1016/S0140-6736(09)60731-5.
Government of India. Maternal and Health Division, National Guidelines for Diagnosis and Management of Gestational Diabetes Mellitus. New Delhi, India: Ministry of Health & Family Welfare, New Concept Information Systems; 2014.
Government of India. Maternal and Health Division, Diagnosis and Management of Gestational Diabetes Mellitus: Technical and Operational Guidelines. New Delhi, India: Ministry of Health & Family Welfare, New Concept Information Systems; 2018.
Mishra S, Bhadoria AS, Kishore S, Kumar R. Gestational diabetes mellitus 2018 guidelines: An update. J Family Med Prim Care 2018;7:1169-72.
Bhavadharini B, Deepa M, Nallaperumal S, Anjana RM, Mohan V. Knowledge about gestational diabetes mellitus amongst pregnant women in South Tamil Nadu. J Diabetol 2017;8:22-6.
Ghosha A, Ghosh S, Dutta J, Sinha R, Mukherjee J, Chakravorty N. Understanding the awareness, perception and practices of community healthcare workers for high risk antenatal cases: A survey conducted in India. Clinical Epidemiology and Global Health. 2021;10. 100710. DOI: 10.1016/j.cegh.2021.100710.
Halder R, Paul B, Bandyopadhyay L, Bhattacharya M, Das R, Banerjee A. Awareness Regarding Gestational Diabetes Mellitus among Antenatal Women of Rural West Bengal: A Mixed-method Study. Healthline. 2022;13(1):22-30.
Supe A, Seshadri KG, Singh P, Kumar RS, Chalam PV, Maulik SK, et al. Competency based undergraduate curriculum for the Indian medical graduate. Vol I-III. New Delhi: Medical Council of India; 2018. Available at: https://www.nmc.org.in/information-desk/for-colleges/ug-curriculum/
Supe A, Seshadri KG, Kumar RS, Singh T, Chalam PV, Singh P, et al. Module on Online Learning and Assessment. New Delhi: National Medical Commission; 2020. 57 p. Available at: https://www.nmc.org.in/wp-content/uploads/2020/11/Module-8-Online-learning-and-assessment-17-11-20-version-final-for-uploading-converted.pdf.
The Gazette of India. Compulsory Rotating Medical Internship Regulations 2021. New Delhi: National Medical Commission; 2021. 44 p. Available at: https://www.nmc.org.in/ActivitiWebClient/open/getDocument?path=/Documents/Public/Portal/NmcGazette/231280.pdf
Mishra S, Rao CR, Bhadoria AS, Kumar R, Aggarwal P, Vyas S, et al. A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme. J Family Med Prim Care 2020;9:5837-45.
The Gazette of India. Regulations on Graduate Medical Education (Amendment), 2019. 390
Prabhu JK, Deepti Kondamuri S, Samal S, Sen M. Knowledge of gestational diabetes mellitus among pregnant women in a semiurban hospital - A cross-sectional study. Clinical Epidemiology and Global Health. 2021;12:100854. DOI: 10.1016/j.cegh.2021.100854
Dhyani V, Mahantashetti NS, Ganachari MS, Kambar S, Ghatnatti V. Awareness of gestational diabetes mellitus among pregnant women attending a tertiary health center. Indian J Health Sci Biomed Res. 2018;11:51-5.
Shafaiyaz M, Rohini G. A study on knowledge, attitude and practice regarding gestational diabetes mellitus (GDM) and its control with medical nutritional therapy among antenatal patients in a tertiary care hospital in a semi urban area. Journal of Pharmaceutical Research International. 2021; 33(47B):497-505. DOI:10.9734/JPRI/2021/v33i47B33149.
Park K. Textbook of Preventive and Social Medicine. 26th edition. Jabalpur. M/S Banarasidas Bhanol Publisher. 2021.
Konar H. DC Dutta’s Textbook of Obstetrics Including Perinatology & Contraception. 10th Edition 2023. Jaypee Brothers Medical Publishers. 2023
Downloads
Published
How to Cite
License
Copyright (c) 2024 Surabhi Mishra, Neha Sharma, Abhay Srivastava, Jayanti Semwal, Anamika Joshi, Kezia Gupta
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
