A Clinical Audit for Management of Gestational Diabetes Mellitus: Compliance with Standards
GDM Management Compliance Audit
DOI:
https://doi.org/10.61919/jhrr.v4i3.1492Keywords:
Gestational Diabetes Mellitus, GDM management, RCOG guidelines, clinical audit, OGTT screening, blood glucose monitoring, metformin, insulin therapy.Abstract
Background: Gestational Diabetes Mellitus (GDM) is a common complication in pregnancy associated with adverse maternal and neonatal outcomes. Adherence to clinical guidelines, such as those from the Royal College of Obstetricians and Gynaecologists (RCOG), is crucial for effective management.
Objective: To assess compliance with RCOG guidelines for the management of GDM in a clinical setting.
Methods: A clinical audit was conducted at Lady Willingdon Hospital, Lahore, over 12 months, including 100 pregnant women diagnosed with GDM. Data were collected retrospectively and prospectively from patient records, antenatal logs, and laboratory findings. Compliance with RCOG guidelines was assessed for screening by OGTT, dietary advice, regular blood glucose monitoring, and pharmacotherapy. Data analysis was performed using SPSS version 25, with compliance rates calculated as percentages.
Results: Compliance rates were 92% for screening by OGTT, 78% for receiving dietary advice, 69% for regular blood glucose monitoring, and 57% for receiving metformin or insulin. Non-compliance rates were highest in pharmacotherapy at 43%.
Conclusion: The audit identified strong compliance in GDM screening but highlighted significant gaps in other management areas. Enhancing adherence to guidelines could improve patient outcomes.
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References
Royal College of Obstetricians and Gynaecologists. Gestational Diabetes Mellitus. Green-top Guideline No. 63. 2019. Available from: RCOG Guidelines.
Royal College of Obstetricians and Gynaecologists. The Management of Women with Obesity in Pregnancy. Green-top Guideline No. 72. 2021. Available from: RCOG Guidelines.
Royal College of Obstetricians and Gynaecologists. Management of Diabetes in Pregnancy: Standards and Guidelines. 2022. Available from: RCOG Standards.
Royal College of Obstetricians and Gynaecologists. Intrapartum Care for Women with Existing Medical Conditions or Obstetric Complications: Evidence-based Clinical Guidelines. Green-top Guideline No. 64. 2023. Available from: RCOG Guidelines.
American Diabetes Association. Standards of Medical Care in Diabetes—2023. Position Statement. 2023. Available from: ADA Guidelines.
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Copyright (c) 2024 Hafiz Muhammad Usman Abid, Muhammad Essa, Muhammad Hakim Khan, Shahid Aziz
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