Implementation of a new program of gestational diabetes screening and management in Morocco: a qualitative exploration of health workers’ perceptions

Utz, Bettina; Assarag, Bouchra; Lekhal, Touria; Damme, Wim Van

doi:10.1186/s12884-020-02979-9

Cited by 9 publications

(15 citation statements)

References 31 publications

(34 reference statements)

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“…Um outro fator significante foi que há equipes limitadas que contém a enfermeira obstétrica, dificultando no gerenciamento de enfermagem no DMG. Por conta dessa limitação, a carga de trabalho adicional para os profissionais de saúde aumentou, podendo contribuir para o aumento de estresse desses profissionais e menor qualidade da assistência prestada 16,22 .…”

Section: Identificando Os Fatores Que Interferem Nos Resultadosunclassified

“…A detecção e o cuidado do DMG por meio de cuidados pré-natais nas unidades básicas de saúde podem ter impactado positivamente na diminuição das complicações materno-fetais, como o peso do recémnascido ao nascer 22 .…”

Section: Discussionunclassified

“…O papel da Enfermagem destaca-se no cuidado integral dessas gestantes, realizando o acolhimento e acompanhando desde a detecção precoce até o puerpério, aprimorando o conhecimento e habilidades dessas pacientes, contribuindo com o autocuidado e melhorando nos resultados perinatais. De acordo com os resultados, as ações de assistência de enfermagem realizadas agregaram maior valor na atenção básica de saúde e no SUS [18][19][20][21][22] .…”

Section: Compreendendo As Potencialidades Do Cuidadounclassified

“…Esta classe representa a necessidade da capacitação, treinamento dos profissionais de saúde sobre o manejo de pacientes com diabetes mellitus gestacional, melhorando a qualidade da assistência oferecida, estabelecendo maior confiança e vínculo entre o profissional e paciente, e desta maneira contribuindo para uma adesão maior ao tratamento da DMG e menor incidência de complicações neonatais e evolução para diabetes mellitus tipo 2 22 .…”

Section: Capacitação Treinamento E Conhecimentounclassified

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Assistência de enfermagem a paciente com diabetes mellitus gestacional: uma revisão de literatura

Shimoe

Vieira

Alves³

et al. 2021

GANJ

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ARTIGO DE REVISÃO Assistência de enfermagem a paciente com diabetes mellitus gestacional: uma revisão de literaturaNursing care for patients with gestational diabetes mellitus: a literature review Atención de enfermería a pacientes con diabetes mellitus gestacional: revisión de la literatura ResumoObjetivou-se analisar as evidências na literatura sobre a assistência de enfermagem na Atenção Básica a paciente que apresentaram o Diabetes Mellitus Gestacional. Trata-se de uma revisão integrativa de literatura, as bases de dados selecionadas foram: PubMed, SciELO e a plataforma de base de dados BVS. Os seguintes descritores foram utilizados: Diabetes, Gestational; Nursing Care; Primary Health Care e Public Health. Resultou-se das pesquisas 325 obras, após a leitura foram selecionados apenas 11 artigos, que foram classificados em quatro categoria, são elas: Compreendendo as potencialidades do cuidado; identificando os fatores que interferem nos resultados; Capacitação/treinamento/conhecimento; Fragilidades do cuidado. Conclui-se que o manejo em pacientes com diabetes mellitus gestacional na Atenção Básica tornase extremamente relevante para a diminuição das complicações materno-fetais como também na diminuição da incidência da progressão para a diabetes tipo 2.

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Section: Identificando Os Fatores Que Interferem Nos Resultadosunclassified

Section: Discussionunclassified

Section: Compreendendo As Potencialidades Do Cuidadounclassified

Section: Capacitação Treinamento E Conhecimentounclassified

See 2 more Smart Citations

Assistência de enfermagem a paciente com diabetes mellitus gestacional: uma revisão de literatura

Shimoe

Vieira

Alves³

et al. 2021

GANJ

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“…The strategy of detection and initial management of gestational diabetes, apart from increasing workload, can motivate the primary level health care providers. [ 18 ]…”

Section: Discussionmentioning

confidence: 99%

Interpretation of maternal blood glucose during pregnancy at high altitude area, Abha-Saudi Arabia

Hassan

2020

J Family Med Prim Care

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Background and Aims: In women who reside at high altitude, fasting plasma glucose is lower than at sea level, and further decrease of fasting blood glucose was noticed during pregnancy. This study aimed to set cutoff level of fasting plasma glucose during pregnancy at high altitude. The obtained data intended for interpretation of gestational blood sugar results and early detection of those who at risk of developing gestational diabetes. Methods: A cross-sectional study was conducted to determine the cutoff level of fasting plasma glucose during pregnancy at high altitude. The subjects were pregnant women who attending the routine antenatal care at Abha Maternity Hospital and Mahayil Aseer Maternity hospital. Plasma glucose concentrations and Body Mass Index (BMI), socio-demographic and obstetric data were entered into the Statistical Package for Social Sciences (SPSS) version 20. Comparison amongst these variables were carried out through t test (numerical variables) and Chi Square test (proportions). A P value of <0.05 was considered as statistically significant. Results: The overall results obtained indicated that the fasting plasma glucose concentrations and BMI were significantly lower ( p = 0.0001) at high altitude area (Abha) than low altitude area (Mahayil Aseer). Age was the only socio-demographic factor that showed significant difference between the two groups (p-value was <0.05). Conclusion: Up to our knowledge, this is the first study addressing the interpretation of fasting blood glucose during pregnancy at high altitude area in Saudi Arabia. Our findings support the importance of careful interpretation of fasting blood glucose of pregnant women who reside at high altitude areas. The implementation of this policy at high altitude areas in the Kingdom of Saudi Arabia is recommended for early detection of gestational diabetes and timed intervention to avoid complications.

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Oral glucose tolerance test—The imperfect gold standard for gestational diabetes screening: A qualitative study involving clinicians in regional, rural and remote areas of Western Australia

Kirke,

Spry,

Atkinson

et al. 2024

Health Prom J of Aust

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Issue AddressedThe oral glucose tolerance test is the ‘gold standard’ for detecting gestational diabetes in Australian and International guidelines. Test completion in regional, rural and remote regions may be as low as 50%. We explored challenges and enablers for regional, rural and remote antenatal clinicians providing gestational diabetes screening to better understand low oral glucose tolerance test completion.MethodsWe conducted a qualitative descriptive study using semi‐structured interviews. Participants eligible for the study were doctors or midwives providing antenatal care in regional, rural and remote Western Australia, between August 2019 and November 2020. Interviews were recorded digitally and transcribed into a Word document. We conducted a thematic analysis after initial categorisation and deduction of themes through workshops involving the research team.ResultsWe found a diversity of viewpoints on oral glucose tolerance test reliability for detecting gestational diabetes. Themes that emerged were; good collaboration between antenatal clinicians is required for successful screening; screening occurs throughout pregnancy using various tests; clinicians make significant efforts to address barriers; clinicians prioritise therapeutic relationships.ConclusionsEffective universal screening for gestational diabetes in regional, rural and remote Western Australia is difficult and more complex in practice than guidelines imply. Detecting gestational diabetes requires creative solutions, early identification of at risk women and trust and collaboration between clinicians and women.So What?Detection of gestational diabetes in regional, rural and remote Western Australia remains poorly completed. New strategies are required to adequately identify women at risk of adverse birth outcomes relating to hyperglycaemia in pregnancy.

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Implementation of a new program of gestational diabetes screening and management in Morocco: a qualitative exploration of health workers’ perceptions

Cited by 9 publications

References 31 publications

Assistência de enfermagem a paciente com diabetes mellitus gestacional: uma revisão de literatura

Assistência de enfermagem a paciente com diabetes mellitus gestacional: uma revisão de literatura

Interpretation of maternal blood glucose during pregnancy at high altitude area, Abha-Saudi Arabia

Oral glucose tolerance test—The imperfect gold standard for gestational diabetes screening: A qualitative study involving clinicians in regional, rural and remote areas of Western Australia

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