Risk scores for selective screening for gestational diabetes in Sub Saharan Africa

dc.contributor.authorMwanri, Akwilina Wendelin
dc.contributor.authorMsollo, Safiness Simon
dc.date.accessioned2024-05-30T11:49:58Z
dc.date.available2024-05-30T11:49:58Z
dc.date.issued2020
dc.descriptionBook chapter
dc.description.abstractGestational diabetes mellitus (GDM) is a threat to maternal and child health. Timely detection and proper management of GDM may reduce the risk for adverse pregnancy outcomes and improve wellbeing of the mother and the child. Prevalence of gestational diabetes mellitus is increasing worldwide with the highest increase noted in middle- and low-income countries. These countries also suffer from limited resources to properly diagnose and manage gestational diabetes mellitus and other pregnancy complications. This chapter reviews the existing selective screening methods and their application in Sub Saharan Africa (SSA). The current guideline recommends universal screening for all pregnant women at any time during pregnancy to ensure that affected women have the opportunity of receiving proper management to prevent adverse outcomes. However, in the countries with limited human, infrastructure and financial resources, this may be a challenge. The use of selective screening reduces the number of unnecessary oral glucose tolerance test hence maximize the use of available resources. Nevertheless, the use of selective screening may still have challenges due to lack of uniformity and variations on results from application of the risk scores. The methods used to identify risk factors vary across the countries depending on the research design, selection of participants, gestational age at screening and diagnosis criteria used. Some risk score models did not perform well because of the challenges in proper identification of risk factors; for example, body mass index (BMI) is known to be one of the important predictors of GDM. However, some studies use pre-gestational BMI by maternal recall of body weight before conception while others used BMI at first clinic visit regardless of gestational age. Furthermore, there are variations in gestational age at screening and diagnosis method used. There is a need to develop country specific checklist for the risk factors which is simple, clear and easy to use at the clinic and for self-identification to enhance self-care.
dc.identifier.isbn978-1-53618-335-1
dc.identifier.urihttps://www.suaire.sua.ac.tz/handle/123456789/6189
dc.language.isoen
dc.publisherNova Science Publishers
dc.subjectGestational diabetes mellitus
dc.subjectScreening
dc.subjectRisk score
dc.subjectSub-Saharan Africa
dc.titleRisk scores for selective screening for gestational diabetes in Sub Saharan Africa
dc.typeBook chapter

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