A SURVEY ON SEVERAL CENTERS IN PAKISTAN: PRE-GESTATION AND GESTATION DIABETES (GDM) DURING PREGNANCY (SCREENING)

Background: The intention of the existing indication remained consequently to research the arrogances and observes of overall obstetrical centers in north of Pakistan with regard to screening for pre-pregnancy DM in initial pregnancy and screening for gestational diabetes. There is no agreement on best screening procedure for gestational DM. Authors similarly planned to distinguish penetrance of DSG screening procedure of the IADPSG (Universal Suggestion of DM in Pregnancy Research Sets).

Methods: The study was circulated to each obstetrical center in Lady Willingdon Hospital, Lahore Pakistan by e-mail and mail, through updates by telephone and individual contacts. The study remained led from December 2017 to November 2018.

Results: The survey of all obstetrical centers, 70% retorted. Altogether other things being equal, 27% had an organized record on sum of females through GDM. Altogether other things being equal, 82% of women were screened for pre-pregnancy diabetes in early pregnancy and 56% of centers had screening for gestational diabetes beforehand 24 weeks. Screening previously 24 weeks was generally grounded on random elements. Screening for GDM after 24 weeks was generally performed in 87% of centers. The average assessed banality rate for GDM was 8 ± 6%. The maximum normally applied screening methodology was the two-step methodology through the glucose challenge test (GCT) and the 100-g oral glucose tolerance test (OGTT), used by 57% of centers, including 24 centers using the Carpenter and Coustan criteria. The 75 g OGTT according to the IADPSG criteria was used by 34% of subjects, but four of these subjects still used an OGTT before switching to the OGTT.

Conclusion:The present synopsis shows that in north of Pakistan here is still the wide multiplicity of screening techniques for early pre-pregnancy DM and GDM. Solitary 27% of the centers of interest have just implemented the IADPSG screening method in a single step.

Keywords: Gestational DM, Review, Performs, Screening, Pregestational DM.