Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh

Shahjada Selim; Rezaul Karim Kazal; ABM Kamrul-Hasan

doi:doi:10.11648/j.ijde.20200504.16

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Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh

Shahjada Selim, Rezaul Karim Kazal, ABM Kamrul-Hasan

Published in International Journal of Diabetes and Endocrinology (Volume 5, Issue 4)

Received: 3 December 2020 Accepted: 16 December 2020 Published: 25 December 2020

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Abstract

The frequency of hyperglycemia in pregnancy is high in Bangladesh, but very little is known about the current knowledge and practice about hyperglycemia in pregnancy in our practicing doctors. The objective of the present study was to assess the knowledge and practice of the doctors across the country who are involved in the management of hyperglycemia in pregnancy. Structured pretested data collection sheets were sent to the doctors taking care of hyperglycemia in pregnancy (endocrinologists, obstetricians, and others) through email and postage. The questionnaire focused on their knowledge and practice pattern on hyperglycemia in pregnancy. In total, 950 doctors of Bangladesh were invited to join the survey, and 262 (24.89%) responded. Among the participants, 42.3% (111) were endocrinologists, 27.10% (71) obstetrician/gynecologist, and 30.53% (80) were other physicians, including internists, diabetes family physicians. The majority of the participants were aware of hyperglycemia's adverse outcomes in pregnancy, advocates universal screening, and followed the American Diabetes Association’s recommendations for the screening purpose. Though most of them use insulin to manage hyperglycemia in pregnancy, more than half prefer to continue metformin if used for other causes. The majority of the responders favored the Caesarian section as the preferred delivery method. The study participants admit that more than half of the gestational diabetes cases are lost to follow up after delivery. This study's findings may serve as a baseline for the management of hyperglycemia in pregnancy in this country. The doctors involved in managing hyperglycemia in pregnancy require more training for knowledge building and rational practice.

Published in	International Journal of Diabetes and Endocrinology (Volume 5, Issue 4)
DOI	10.11648/j.ijde.20200504.16
Page(s)	83-88
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Hyperglycemia in Pregnancy, Gestational Diabetes Mellitus, Knowledge and Practice Pattern, Bangladesh

References

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[4]	Crowther, C. A., Hiller, J. E., Moss, J. R., McPhee, A. J., Jeffries, W. S., Robinson, J. S., & Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial Group (2005). Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. The New England Journal of Medicine, 352 (24), 2477–2486.
[5]	Mohan, V., Mahalakshmi, M. M., Bhavadharini, B., Maheswari, K., Kalaiyarasi, G., Anjana, R. M., Uma, R., Usha, S., Deepa, M., Unnikrishnan, R., Pastakia, S. D., Malanda, B., Belton, A., & Kayal, A. (2014). Comparison of screening for gestational diabetes mellitus by oral glucose tolerance tests done in the non-fasting (random) and fasting states. Acta Diabetologica, 51 (6), 1007–1013.
[6]	Committee on Practice Bulletins–Obstetrics (2013). Practice Bulletin No. 137: Gestational diabetes mellitus. Obstetrics and gynecology, 122 (2 Pt 1), 406–416.
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[11]	Appajigol, J. S., Bellary, S. (2015). Knowledge and practices of rural family physicians and obstetricians towards gestational diabetes mellitus. Int J Community Med Public Health, 2 (2): 153-55.
[12]	Utz, B., Assarag, B., Essolbi, A., Barkat, A., Delamou, A., & De Brouwere, V. (2017). Knowledge and practice related to gestational diabetes among primary health care providers in Morocco: Potential for a defragmentation of care?. Primary Care Diabetes, 11 (4): 389–396.
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[18]	Rayanagoudar, G., Moore, M., Zamora, J., Hanson, P., Huda, M. S., Hitman, G. A., & Thangaratinam, S. (2015). Postpartum care of women with gestational diabetes: survey of healthcare professionals. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 194: 236–240.
[19]	Seshiah, V., Balaji, V., Balaji, S., Sekar, A., Sanjeevi, C. B., & Green, A. (2005). One step screening procedure for screening and diagnosis of gestational diabetes mellitus. J Obstet Gynecol India. 55 (6): 525–29.
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APA Style

Shahjada Selim, Rezaul Karim Kazal, ABM Kamrul-Hasan. (2020). Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh. International Journal of Diabetes and Endocrinology, 5(4), 83-88. https://doi.org/10.11648/j.ijde.20200504.16

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ACS Style

Shahjada Selim; Rezaul Karim Kazal; ABM Kamrul-Hasan. Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh. Int. J. Diabetes Endocrinol. 2020, 5(4), 83-88. doi: 10.11648/j.ijde.20200504.16

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AMA Style

Shahjada Selim, Rezaul Karim Kazal, ABM Kamrul-Hasan. Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh. Int J Diabetes Endocrinol. 2020;5(4):83-88. doi: 10.11648/j.ijde.20200504.16

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@article{10.11648/j.ijde.20200504.16,
  author = {Shahjada Selim and Rezaul Karim Kazal and ABM Kamrul-Hasan},
  title = {Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh},
  journal = {International Journal of Diabetes and Endocrinology},
  volume = {5},
  number = {4},
  pages = {83-88},
  doi = {10.11648/j.ijde.20200504.16},
  url = {https://doi.org/10.11648/j.ijde.20200504.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20200504.16},
  abstract = {The frequency of hyperglycemia in pregnancy is high in Bangladesh, but very little is known about the current knowledge and practice about hyperglycemia in pregnancy in our practicing doctors. The objective of the present study was to assess the knowledge and practice of the doctors across the country who are involved in the management of hyperglycemia in pregnancy. Structured pretested data collection sheets were sent to the doctors taking care of hyperglycemia in pregnancy (endocrinologists, obstetricians, and others) through email and postage. The questionnaire focused on their knowledge and practice pattern on hyperglycemia in pregnancy. In total, 950 doctors of Bangladesh were invited to join the survey, and 262 (24.89%) responded. Among the participants, 42.3% (111) were endocrinologists, 27.10% (71) obstetrician/gynecologist, and 30.53% (80) were other physicians, including internists, diabetes family physicians. The majority of the participants were aware of hyperglycemia's adverse outcomes in pregnancy, advocates universal screening, and followed the American Diabetes Association’s recommendations for the screening purpose. Though most of them use insulin to manage hyperglycemia in pregnancy, more than half prefer to continue metformin if used for other causes. The majority of the responders favored the Caesarian section as the preferred delivery method. The study participants admit that more than half of the gestational diabetes cases are lost to follow up after delivery. This study's findings may serve as a baseline for the management of hyperglycemia in pregnancy in this country. The doctors involved in managing hyperglycemia in pregnancy require more training for knowledge building and rational practice.},
 year = {2020}
}

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TY - JOUR
T1 - Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh
AU - Shahjada Selim
AU - Rezaul Karim Kazal
AU - ABM Kamrul-Hasan
Y1 - 2020/12/25
PY - 2020
N1 - https://doi.org/10.11648/j.ijde.20200504.16
DO - 10.11648/j.ijde.20200504.16
T2 - International Journal of Diabetes and Endocrinology
JF - International Journal of Diabetes and Endocrinology
JO - International Journal of Diabetes and Endocrinology
SP - 83
EP - 88
PB - Science Publishing Group
SN - 2640-1371
UR - https://doi.org/10.11648/j.ijde.20200504.16
AB - The frequency of hyperglycemia in pregnancy is high in Bangladesh, but very little is known about the current knowledge and practice about hyperglycemia in pregnancy in our practicing doctors. The objective of the present study was to assess the knowledge and practice of the doctors across the country who are involved in the management of hyperglycemia in pregnancy. Structured pretested data collection sheets were sent to the doctors taking care of hyperglycemia in pregnancy (endocrinologists, obstetricians, and others) through email and postage. The questionnaire focused on their knowledge and practice pattern on hyperglycemia in pregnancy. In total, 950 doctors of Bangladesh were invited to join the survey, and 262 (24.89%) responded. Among the participants, 42.3% (111) were endocrinologists, 27.10% (71) obstetrician/gynecologist, and 30.53% (80) were other physicians, including internists, diabetes family physicians. The majority of the participants were aware of hyperglycemia's adverse outcomes in pregnancy, advocates universal screening, and followed the American Diabetes Association’s recommendations for the screening purpose. Though most of them use insulin to manage hyperglycemia in pregnancy, more than half prefer to continue metformin if used for other causes. The majority of the responders favored the Caesarian section as the preferred delivery method. The study participants admit that more than half of the gestational diabetes cases are lost to follow up after delivery. This study's findings may serve as a baseline for the management of hyperglycemia in pregnancy in this country. The doctors involved in managing hyperglycemia in pregnancy require more training for knowledge building and rational practice.
VL - 5
IS - 4
ER -

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Author Information

Shahjada Selim

Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Rezaul Karim Kazal

Department of Obstetrics & Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
ABM Kamrul-Hasan

Department of Endocrinology, Mymensingh Medical College, Mymensingh, Bangladesh

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APA Style

Shahjada Selim, Rezaul Karim Kazal, ABM Kamrul-Hasan. (2020). Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh. International Journal of Diabetes and Endocrinology, 5(4), 83-88. https://doi.org/10.11648/j.ijde.20200504.16

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ACS Style

Shahjada Selim; Rezaul Karim Kazal; ABM Kamrul-Hasan. Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh. Int. J. Diabetes Endocrinol. 2020, 5(4), 83-88. doi: 10.11648/j.ijde.20200504.16

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AMA Style

Shahjada Selim, Rezaul Karim Kazal, ABM Kamrul-Hasan. Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh. Int J Diabetes Endocrinol. 2020;5(4):83-88. doi: 10.11648/j.ijde.20200504.16

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@article{10.11648/j.ijde.20200504.16,
  author = {Shahjada Selim and Rezaul Karim Kazal and ABM Kamrul-Hasan},
  title = {Knowledge and Practice of Physicians to Hyperglycemia in Pregnancy: A Nationwide Survey in Bangladesh},
  journal = {International Journal of Diabetes and Endocrinology},
  volume = {5},
  number = {4},
  pages = {83-88},
  doi = {10.11648/j.ijde.20200504.16},
  url = {https://doi.org/10.11648/j.ijde.20200504.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20200504.16},
  abstract = {The frequency of hyperglycemia in pregnancy is high in Bangladesh, but very little is known about the current knowledge and practice about hyperglycemia in pregnancy in our practicing doctors. The objective of the present study was to assess the knowledge and practice of the doctors across the country who are involved in the management of hyperglycemia in pregnancy. Structured pretested data collection sheets were sent to the doctors taking care of hyperglycemia in pregnancy (endocrinologists, obstetricians, and others) through email and postage. The questionnaire focused on their knowledge and practice pattern on hyperglycemia in pregnancy. In total, 950 doctors of Bangladesh were invited to join the survey, and 262 (24.89%) responded. Among the participants, 42.3% (111) were endocrinologists, 27.10% (71) obstetrician/gynecologist, and 30.53% (80) were other physicians, including internists, diabetes family physicians. The majority of the participants were aware of hyperglycemia's adverse outcomes in pregnancy, advocates universal screening, and followed the American Diabetes Association’s recommendations for the screening purpose. Though most of them use insulin to manage hyperglycemia in pregnancy, more than half prefer to continue metformin if used for other causes. The majority of the responders favored the Caesarian section as the preferred delivery method. The study participants admit that more than half of the gestational diabetes cases are lost to follow up after delivery. This study's findings may serve as a baseline for the management of hyperglycemia in pregnancy in this country. The doctors involved in managing hyperglycemia in pregnancy require more training for knowledge building and rational practice.},
 year = {2020}
}

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