Evaluation of knowledge regarding gestational diabetes mellitus: a Bangladeshi study

Bhowmik, Bishwajit; Afsana, Faria; Ahmed, Tanvir; Siddiquee, Tasnima; Pathan, Faruque; Mahtab, Hajera; Khan, Ajaz Kariem

doi:10.1016/j.puhe.2018.04.017

Cited by 21 publications

(32 citation statements)

References 29 publications

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“…These findings were very much in agreement with studies by other researchers who found awareness of GDM to be low among pregnant women attending antenatal clinics. Shriraam et al, in South India [ 12 ] and a study done in Bangladesh [ 13 ] found that only 17.5 and 26.3 % respectively of pregnant women were aware of GDM which was slightly lower when compared to this study and this could be because these studies included women from rural settings where as our study was conducted in an urban setting but with a heterogenous population consisting of the urban poor and those with average income. Similarly, a study done in Southern Nigeria [ 14 ] showed an overall awareness score of 26.2 % though this study assessed awareness of GDM among women of reproductive age and not pregnant women as ours.…”

Section: Discussioncontrasting

confidence: 73%

“…Bhowmik et al, Balaji et al and Lakshmi et al reported similar findings. In these studies, participants with higher educational status were found to have a significantly higher mean knowledge score than their counterparts [ 10 , 13 , 24 ]. This could be because education has a strong impact on health literacy; that is, pregnant women with higher education status are able to read health posters, get information from health-related articles and literature and have better understanding of the health information given to them by the health personnel during antenatal care.…”

Section: Discussionmentioning

confidence: 99%

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Level of and factors associated with awareness of gestational diabetes mellitus among pregnant women attending antenatal care at Kawempe National Referral Hospital: a cross sectional study

Byakwaga

Sekikubo

Nakimuli

2021

BMC Pregnancy Childbirth

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Background The burden of Gestational diabetes mellitus (GDM) is significantly increasing worldwide and the disorder causes substantial short term and long-term adverse effects both to the mother and the unborn baby. Public health measures to increase awareness of GDM among pregnant women may aid in prevention of the disease through life style modification, screening, early diagnosis and management but very few studies have assessed awareness of GDM among pregnant women in sub Saharan Africa and none of these are from Uganda. This study therefore sought to evaluate the level of and factors associated with awareness of GDM among pregnant women attending antenatal care at Kawempe National Referral Hospital (KNRH), the busiest obstetric unit in Uganda, so as to assess their health sensitization needs. Methods This was a cross-sectional study. We recruited 403 participants at 30 weeks of gestation and above after giving written informed consent. Systematic sampling was used to select participants and data was collected using pretested interviewer-administered questionnaires. The collected data was entered in Epidata version 4.2 and exported to Stata for analysis. Continuous variables were summarized using mean and standard deviation. Categorical variables were summarized using frequencies and proportions. Factors associated with awareness were assessed at both bivariate and multivariate levels. Results Four hundred three pregnant women were recruited, majority (35.5 %) were between 20 and 24 years and their mean age was 26.6 years. Only 125 (31 %) participants were aware of GDM. Age and educational level were significantly associated with awareness of GDM. Women aged 35 years and above were more likely to be aware of GDM (OR = 2.34 (95 % CI = 1.14–4.81) p = 0.021. Women with primary education or no education were less likely to be aware (OR = 0.48 (CI 0.24–0.96) p = 0.038. Conclusions Awareness of GDM was poor among study participants. There is need to improve the health education programs in order to increase awareness of GDM among women attending ANC at KNRH. Women below 35 years of age and those with primary education or less should be specifically targeted when giving health education sessions so as to increase their awareness of GDM.

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Section: Discussioncontrasting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Level of and factors associated with awareness of gestational diabetes mellitus among pregnant women attending antenatal care at Kawempe National Referral Hospital: a cross sectional study

Byakwaga

Sekikubo

Nakimuli

2021

BMC Pregnancy Childbirth

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“…The participants' GDM-related knowledge did not significantly affect breastfeeding intention in this study. However, the GDMrelated knowledge of the Bangladeshi mothers was very low (33.6% correct answers), which was similar to the 30.0% correct answers reported by Bhowmik et al [23] who investigated knowledge on gestational diabetes in 1,374 participants at 15 outpatient clinics in Bangladesh. The results of this study indicated that the Bangladeshi mothers are less knowledgeable regarding GDM than Korean mothers because Korean mothers showed 54.9% correct answers to the same research questions in a previous study [16].…”

Section: Discussionsupporting

confidence: 82%

Knowledge and Health Beliefs of Gestational Diabetes Mellitus Associated with Breastfeeding Intention Among Pregnant Women in Bangladesh

Kim

Lee

Jang

et al. 2020

Asian Nursing Research

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This study aimed to investigate the knowledge of gestational diabetes mellitus (GDM) and the health beliefs about GDM management, as well as to investigate the effects of these factors on breastfeeding intention in Bangladesh. Methods: This study involved a cross-sectional survey of 358 healthy pregnant women who visited antenatal clinics in Bangladesh. Results: Perceived susceptibility, perceived benefit, and self-efficacy were identified as significant factors for breastfeeding intention (p < .05). Participants had a poor understanding and a lack of knowledge of GDM, which can lead to inadequate health behavior. Health beliefs were significantly associated with participants' breastfeeding intention related to GDM. Conclusion: Antenatal education for breastfeeding in GDM mothers should focus on providing accurate information on GDM and strengthening their health beliefs such as self-efficacy within the context of the mothers' culture.

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“…In our study, the women who were shocked by their diagnosis expressed an immediate need for more knowledge about GDM. Studies have shown that women with GDM often had little knowledge about GDM prior to diagnosis [22][23][24][25]. Knowledge about GDM can have an impact on the extent to which a woman follows health and treatment recommendations [26].…”

Section: Discussionmentioning

confidence: 99%

Women’s experience with receiving advice on diet and Self-Monitoring of blood glucose for gestational diabetes mellitus: a qualitative study

Helmersen

Sørensen

Lukasse

et al. 2021

Scandinavian Journal of Primary Health Care

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Objective: We aimed to explore how women with gestational diabetes mellitus (GDM) experience advice about diet and self-monitoring of blood glucose received in primary health care (PHC) and secondary health care (SHC) with a focus on how women perceived the care coordination and collaboration between healthcare professionals. Design, setting and subjects: Individual interviews were conducted with 12 pregnant women diagnosed with GDM. Six women had immigrant backgrounds, and six were ethnic Norwegian. Women received GDM care in the area of Oslo, Norway. Interviews were analysed using thematic analysis. Results: Women described feeling shocked when they were diagnosed with GDM and feeling an immediate need for information about the consequences and management of GDM. Most of the women felt that their general practitioner (GP) had too little knowledge about GDM. Women with an immigrant background felt that the PHC midwives provided them with sufficient dietary advice related to GDM. Ethnic Norwegian women appreciated receiving more individually tailored dietary advice in SHC. Self-monitoring of blood glucose influenced women's daily lives; however, they perceived the training in PHC and SHC as adequate. The women experienced poor collaboration between healthcare professionals in PHC and SHC, which implied that they sometimes had to initiate follow-up steps in their GDM care by themselves. Conclusions: Ideally, women diagnosed with GDM should meet healthcare professionals with sufficient knowledge about GDM as soon as possible after being diagnosed. The collaboration between healthcare professionals involved in the care of women with GDM should be improved to avoid having women feel that they need to coordinate their own care. KEY POINTS Current awareness The management of gestational diabetes mellitus requires appropriate follow-up by healthcare professionals Main statements Pregnant women's need for information about the consequences and management of gestational diabetes mellitus was highest immediately after diagnosis Women perceived that they received more individually tailored information about diet and self-monitoring of blood glucose in secondary health care compared to primary health care Women felt that general practitioners had insufficient knowledge about gestational diabetes mellitus Based on our results, care coordination and collaboration between healthcare professionals involved in the care of women with gestational diabetes mellitus should be improved ARTICLE HISTORY

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Evaluation of knowledge regarding gestational diabetes mellitus: a Bangladeshi study

Cited by 21 publications

References 29 publications

Level of and factors associated with awareness of gestational diabetes mellitus among pregnant women attending antenatal care at Kawempe National Referral Hospital: a cross sectional study

Level of and factors associated with awareness of gestational diabetes mellitus among pregnant women attending antenatal care at Kawempe National Referral Hospital: a cross sectional study

Knowledge and Health Beliefs of Gestational Diabetes Mellitus Associated with Breastfeeding Intention Among Pregnant Women in Bangladesh

Women’s experience with receiving advice on diet and Self-Monitoring of blood glucose for gestational diabetes mellitus: a qualitative study

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