Pregnancy and Childbirth Diabetes mellitus
Conditions
Interventions
Target Shared Care
Usual Care/Standard of Care
Sponsors
International Diabetes Federation
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Pregnant women 18 years and above; Pregnant women between 24th-28th who fulfill the diagnostic criteria of GDM: Diagnosis of GDM will be by one-step standard 75-gram 2-hour oral glucose tolerance test using the International Association of Diabetes and Pregnancy Study Group¿s criteria. Fasting Blood Sugar - equal or more than 5.2mmol/l to <7.0mmol/l 2-hours Post Prandial - equal or more than 8.0 mmol/l to <11.1mmol/l
Exclusion criteria
Exclusion criteria: Pregnant women younger than 18 years; Pregnant women who fulfill diagnostic criteria for diabetes mellitus (fasting PG equal or more than 7.0 mmol/L, 2-hour PG equal or more than 11.1 mmol/L or HbA1c equal or more than 6.5% ); pre-existing/pregestational DM; multiple pregnancy; blood type incompatibility between mother and foetus, ABO type (pre-emptively exclude Rhesus negative mothers; and maternal diseases: such as chronic hypertension, thyrotoxicosis, or use of long-term medicines that could alter glucose metabolism.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glycaemic control (SMBG <5.3mmol/L, 2hours post-prandial 7.0mmol/L and HbA1C < 6.2%);Macrosomia defined as birth weight equal or more than 4000 grams | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of Pregnancy Induced Hypertension;Registration for antenatal care ;Regular attendance for antenatal care ;Proficiency of health workers;Perinatal complications: such as presence of shoulder dystocia;Community Knowledge of DM and GDM | — |
Countries
Nigeria
Contacts
Public ContactEUZEBUS EZUGWU
SENIOR LECTURER/CONSULTANT GYNAECOLOGIST
Outcome results
None listed