Knowledge of gestational diabetes mellitus at first consultation in a multi-ethnic pregnant population in the Oslo region, Norway – a cross-sectional study

Borgen, Iren; Garnweidner-Holme, Lisa; Jacobsen, Anne Flem; Fayyad, Seraj; Småstuen, Milada Cvancarova; Lukasse, Mirjam

doi:10.1080/13557858.2019.1655530

Cited by 18 publications

(21 citation statements)

References 34 publications

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“…Whilst these studies highlighted the emotional burden of GDM, the self-reported, subjective descriptions of the psychological distress experienced by these women, a clinical diagnosis remained absent. It remains unclear if these patients were unable to access healthcare services, although Kim and colleagues [80] indicated that women with GDM were themselves, unlikely to approach MH providers.…”

Section: Discussionmentioning

confidence: 99%

“…A further six studies used data from medical records to diagnose depression or anxiety [ 18 , 49 , 51 , 59 , 60 , 62 ] and a study by Kim et al. [80] considered contact with a MH provider as an outcome. Therefore, the reporting variability associated within these studies further introduces rate limiting factors to better clinically treat these women.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

et al. 2021

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Background: Gestational diabetes mellitus (GDM) is a common complication of pregnancy and is associated with an increased risk of mental health (MH) disorders including antenatal and postnatal depression (PND), anxiety and post-traumatic-stress-disorder (PTSD). We hypothesized GDM and MH disorders will disproportionately affect individuals from Black, Asian and Minority Ethnic backgrounds. Methods: A systematic methodology was developed, and a protocol was published in PROSPERO (CRD42020210863) and a systematic review of publications between 1st January 1990 and 30th January 2021 was conducted. Multiple electronic databases were explored using keywords and MeSH terms. The finalised dataset was analysed using statistical methods such as random-effect models, subgroup analysis and sensitivity analysis. These were used to determine odds ratio (OR) and 95% confidence intervals (CI) to establish prevalence using variables of PND, anxiety, PTSD and stress to name a few. Findings: Sixty studies were finalised from the 20,040 data pool. Forty-six studies were included systematically with 14 used to meta-analyze GDM and MH outcomes. A second meta-analysis was conducted using 7 studies to determine GDM risk among Black, Asian and Minority Ethnic women with pre-existing MH disorders. The results indicate an increased risk with pooled adjusted OR for both reflected at 1.23, 95% CI of 1.00À1.50 and 1.29, 95% CI of 1.11À1.50 respectively. Interpretation: The available studies suggest a MH sequalae with GDM as well as a sequalae of GDM with MH among Black, Asian and Minority Ethnic populations. Our findings warrant further future exploration to better manage these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

et al. 2021

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“…The latest national report in 2019 estimated that the prevalence of GDM in Norway ranges between 3% and 8% using the WHO 1999 criteria and 10% or maybe even more based on the new criteria [ 24 ]. In addition, some studies indicate concerns about the underestimation of the prevalence of GDM in the general population [ 25 , 26 ]. Therefore, the aim of this systemic review was to present the best available peer-reviewed published evidence about the prevalence of GDM in Norway in order to provide an up-to-date overview of the current knowledge about GDM.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of the Prevalence of Gestational Diabetes in Norway

Behboudi‐Gandevani

Parajuli

Vaismoradi

2021

IJERPH

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Gestational diabetes mellitus (GDM) is a major public health problem and a threat to maternal and child health. There is a lack of integrated and systematically synthesized knowledge about the prevalence GDM in Norway. Therefore, this systemic review aimed to present the best available peer-reviewed published evidence from the past 20 years about the prevalence of GDM in Norway. A comprehensive literature search was performed on online databases consisting of PubMed (including Medline), Web of Science, and Scopus to retrieve original research articles published on the prevalence of GDM up to August 2020. Also, databases of Norart and SveMed+ in the Norwegian language were searched to enhance the search coverage. Data were extracted using a standardized protocol and data collection form and were presented narratively. A total of 11 studies were selected to include for data analysis and synthesis with the total sample size of 2,314,191 pregnant women. The studies included heterogenous populations and mostly reported the prevalence of GDM in healthy mothers with singleton pregnancies. The prevalence of GDM in population registered-based studies in Norway was reported to be lower than 2%, using the World Health Organization (WHO) 1999 criteria. However, studies on high-risk populations such as the non-European ethnicity reported prevalence rates ranging from 8% to 15%. Given the evidence from available literature that reported trends in the prevalence of GDM, an increase in the prevalence of GDM across most racial/ethnic groups studied in Norway was observed. Overall, the prevalence of GDM in the low risk population of Norway is fairly low, but the available literature supports the perspective that the prevalence of GDM has shown an increasing trend in recent decades. This finding is very important for health service planning and evaluation, policy development, and research in Norway. Large-scale prospective studies, using the national data, are warranted to provide firm evidence over coming years. Our review findings can help policy makers devise appropriate strategies for improving women’s reproductive health.

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“…In our study, the women who were shocked by their diagnosis expressed an immediate need for more knowledge about GDM. Studies have shown that women with GDM often had little knowledge about GDM prior to diagnosis [22][23][24][25]. Knowledge about GDM can have an impact on the extent to which a woman follows health and treatment recommendations [26].…”

Section: Discussionmentioning

confidence: 99%

Women’s experience with receiving advice on diet and Self-Monitoring of blood glucose for gestational diabetes mellitus: a qualitative study

Helmersen

Sørensen

Lukasse

et al. 2021

Scandinavian Journal of Primary Health Care

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Objective: We aimed to explore how women with gestational diabetes mellitus (GDM) experience advice about diet and self-monitoring of blood glucose received in primary health care (PHC) and secondary health care (SHC) with a focus on how women perceived the care coordination and collaboration between healthcare professionals. Design, setting and subjects: Individual interviews were conducted with 12 pregnant women diagnosed with GDM. Six women had immigrant backgrounds, and six were ethnic Norwegian. Women received GDM care in the area of Oslo, Norway. Interviews were analysed using thematic analysis. Results: Women described feeling shocked when they were diagnosed with GDM and feeling an immediate need for information about the consequences and management of GDM. Most of the women felt that their general practitioner (GP) had too little knowledge about GDM. Women with an immigrant background felt that the PHC midwives provided them with sufficient dietary advice related to GDM. Ethnic Norwegian women appreciated receiving more individually tailored dietary advice in SHC. Self-monitoring of blood glucose influenced women's daily lives; however, they perceived the training in PHC and SHC as adequate. The women experienced poor collaboration between healthcare professionals in PHC and SHC, which implied that they sometimes had to initiate follow-up steps in their GDM care by themselves. Conclusions: Ideally, women diagnosed with GDM should meet healthcare professionals with sufficient knowledge about GDM as soon as possible after being diagnosed. The collaboration between healthcare professionals involved in the care of women with GDM should be improved to avoid having women feel that they need to coordinate their own care. KEY POINTS Current awareness The management of gestational diabetes mellitus requires appropriate follow-up by healthcare professionals Main statements Pregnant women's need for information about the consequences and management of gestational diabetes mellitus was highest immediately after diagnosis Women perceived that they received more individually tailored information about diet and self-monitoring of blood glucose in secondary health care compared to primary health care Women felt that general practitioners had insufficient knowledge about gestational diabetes mellitus Based on our results, care coordination and collaboration between healthcare professionals involved in the care of women with gestational diabetes mellitus should be improved ARTICLE HISTORY

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Knowledge of gestational diabetes mellitus at first consultation in a multi-ethnic pregnant population in the Oslo region, Norway – a cross-sectional study

Cited by 18 publications

References 34 publications

A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

A Systematic Review of the Prevalence of Gestational Diabetes in Norway

Women’s experience with receiving advice on diet and Self-Monitoring of blood glucose for gestational diabetes mellitus: a qualitative study

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