Araştırma Makalesi
Yıl 2020,
Cilt: 42 Sayı: 2, 224 - 229, 21.07.2020
Öz
Objective: In this study, we aimed to investigate the demographic findings and the reasons for not accepting the oral glucose tolerance test during pregnancy.
Method: This study was carried out on the pregnants in Nigde University Obstetrics and Gynecology Clinic. The study was performed with pregnants to whom OGTT was recommended in the 24-28 gestational weeks, but who did not accept the test. Pregnant women were asked questionnaires prepared by our clinic and the answers were recorded.
Frequency, percentage, mean, standard deviation, Kruskal-wallis and Mann-Whitney U test and Spearman correlation analysis were used for data analysis.
Results: A total of 299 pregnant women were included in the study. Mean age of the pregnant women was 26.88 ± 5.59 years. Mean gestational week was 25.4 ± 3.12. When the reasons of not having OGTT in pregnant women who had OGTT in their previous pregnancies are examined, 42.9% thought the test was unnecessary, 4.3% thought it was difficult to perform the test, 24.5% said they read news about the harmful effects of the test in the press, 12.3% said because the doctor did not recommend the test, 12.3% said they did not have regular follow-up, 3.7% stated that they did not take the test because they were not informed sufficiently about the test.
Conclusions: In conclusion, this study is an important study in terms of revealing the prejudices of pregnant women who applied to our clinic in Nigde province, even though there are few subjects.
Method: This study was carried out on the pregnants in Nigde University Obstetrics and Gynecology Clinic. The study was performed with pregnants to whom OGTT was recommended in the 24-28 gestational weeks, but who did not accept the test. Pregnant women were asked questionnaires prepared by our clinic and the answers were recorded.
Frequency, percentage, mean, standard deviation, Kruskal-wallis and Mann-Whitney U test and Spearman correlation analysis were used for data analysis.
Results: A total of 299 pregnant women were included in the study. Mean age of the pregnant women was 26.88 ± 5.59 years. Mean gestational week was 25.4 ± 3.12. When the reasons of not having OGTT in pregnant women who had OGTT in their previous pregnancies are examined, 42.9% thought the test was unnecessary, 4.3% thought it was difficult to perform the test, 24.5% said they read news about the harmful effects of the test in the press, 12.3% said because the doctor did not recommend the test, 12.3% said they did not have regular follow-up, 3.7% stated that they did not take the test because they were not informed sufficiently about the test.
Conclusions: In conclusion, this study is an important study in terms of revealing the prejudices of pregnant women who applied to our clinic in Nigde province, even though there are few subjects.
Anahtar Kelimeler
Kaynakça
- 1. Cundy T, Gamble G, Townend K, et al. Perinatal mortality in Type 2 diabetes mellitus. Diabet Med. 2000;17(1):33-9.
- 2. Ferrara A, Peng T, Kim C. Trends in postpartum diabetes screening and subsequent diabetes and impaired fasting glucose among women with histories of gestational diabetes mellitus: a report from the Translating Research Into Action for Diabetes (TRIAD) Study. Diabetes Care 2009;32:269–74.
- 3. Kwong S, Mitchell RS, Senior PA, et al. Postpartum diabetes screening: adherence rate and the performance of fasting plasma glucose versus oral glucose tolerance test. Diabetes Care 2009;32:2242–4.
- 4. Bandyopadhyay M, Small R, Davey MA. Attendance for postpartum glucose tolerance testing following gestational diabetes among South Asian women in Australia: a qualitative study. J Womens Health Issues Care 2015;4:1.
- 5. Bellamy L, Casas JP, Hingorani AD, et al. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet 2009;373: 1773–9.
- 6. Ekelund M, Shaat N, Almgren P, et al. Prediction of postpartum diabetes in women with gestational diabetes mellitus. Diabetologia 2010;53:452–7.
- 7. Moyer VA, U.S. Preventive Services Task Force. Screening for gestational diabetes mellitus:US Preventive Services Task Force recommendation statement. Ann Intern Med 2014;160:414-20.
- 8. Hakan Aytan, Pelin Aytan, Ahmet C. Çalışkan, et al.Gestasyonel diabetes mellitus gelişimini öngörmede ilk trimester maternal Ca 19-9 düzeyleri. Cumhuriyet Tıp Derg 2009; 31: 408-412
- 9.Abouzeid M, Versace VL, Janus ED, et al. A population-based observational study of diabetes during pregnancy in Victoria, Australia, 1999-2008.BMJ Open 2014;4:e005394.
- 10. Feig DS, Hwee J, Shah BR, et al. Trends in incidence of diabetes in pregnancy and serious perinatal outcomes:a large, population based study in Ontario, Canada.1996-2010. Diabetes Care 2014;37:1590-6.
- 11. Kim SY, Saraiva C, Curtis M, et al. Fraction of gestational diabetes mellitus attributable to overweight and obesity by race/ethnicity, California, 2007-2009. Am J Public Health 2013;103:e65-72.
- 12. Bardenheier BH, Elixhauser A, Imperatore G, et al. Variation in prevalence of gestational diabetes mellitus among hospital discharges for obstetric delivery across 23 states in the United States. Diabetes Care 2013;36:1209-14.
- 13. Helton MR, Arndt J, Kebede M, et al. Do low-risk prenatal patients really need a screening glucose challenge test? J Fam Pract. 1997;44(6):556-61.
- 14. Kim C, Liu T, Valdez R, et al. Does frank diabetes in firstdegree relatives of a pregnant woman affect the likelihood of her developing gestational diabetes mellitus or nongestational diabetes? Am J Obstet Gynecol 2009;201:576.e.1-6.
- 15. Hedderson MM, Gunderson EP, Ferrara A. Gestational weight gain and risk of gestational diabetes mellitus. Obstet Gynecol 2010;115:597-604.
- 16. Gibson KS, Waters TP, Catalano PM. Maternal weight gain in women who develop gestational diabetes mellitus. Obstet Gynecol 2012;119:560-5.
- 17. Riskli Gebelikler Yönetim Rehberi. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu Kadın ve Üreme Sağlığı Daire Başkanlığı, Yayın No: 926. Ankara: T.C. Sağlık Bakanlığı 2014.
- 18. Şen C, Yayla M, Api O, et al. Diabetes in pregnancy: diagnosis and treatment. Practice Guidelines of Turkish Perinatology Society. Perinatal Journal 2016;24:110–27.
- 19. Karasu Y. Şeker Yükleme Testine Ne Oldu? Medyanın Halk Sağlığı Üzerine Etkisi. Ankara Eğt. Arş. Hast. Derg. 2018 ; 51/1 : 54-58
- 20. Hoffman SJ, Mansoor Y, Natt N, et al. Celebrities' impact on health-related knowledge, attitudes, behaviors, and status outcomes: protocol for a systematic review, meta-analysis, and meta-regression analysis. Syst Rev. 2017;6(1):13.
- 21. Committee on Practice B-O. Practice Bulletin No. 180: Gestational Diabetes Mellitus. Obstetrics and gynecology. 2017;130(1):e17-e37.
Yıl 2020,
Cilt: 42 Sayı: 2, 224 - 229, 21.07.2020
Öz
Amaç: Bu çalışmamız da gebelikte glukoz yükleme testini kabul etmeyen olguların demografik bulguları ile testi kabul etmeme nedenlerinin incelenmesi amaçlanmıştır.
Yöntem: Bu çalışma Niğde Üniversitesi Kadın Hastalıkları ve Doğum Polikliniğine başvuran, 24-28. gebelik haftalarında OGTT önerilen, ancak testi kabul etmeyen gebelerle yapıldı. Gebelere kliniğimiz tarafından oluşturulan anket sorular soruldu ve cevaplar kaydedildi. Verilerin analizinde frekans, yüzde, ortalama, standart sapma, Kruskal-wallis ve Mann-whitney U testi ve Spearman korelasyon analizi kullanıldı.
Bulgular: Çalışmaya toplam 299 gebe dahil edildi. Gebelerin yaş ortalaması 26.88±5.59 idi. Ortalama gebelik haftası 25.4±3.12 idi. Önce ki gebeliklerinde OGTT yaptıran gebelerin şimdi ki gebeliğinde OGTT yaptırmama nedenleri incelendiğinde %42.9’si testin gereksiz olduğunu düşündüğü için, %4.3’ü testin uygulanmasının zor olduğunu düşündüğü için, %24.5’i basın da testin zararlı olduğu söylendiği için, %12.3’ü doktoru tarafından testin önerilmediği için, %12.3 düzenli takiplerinin yaptırmadığı için, %3.7 test hakkında yeterince bilgilendirilmediği için testi yaptırmadığını ifade etti.
Sonuç: Sonuç olarak bu çalışma az sayıda denekle olsa da Niğde ilimiz de kliniğimize başvuran gebelerin şeker yükleme testine bakışlarını ve ön yargılarını ortaya koyması açısından önemli bir çalışmadır.
Anahtar Kelimeler
Kaynakça
- 1. Cundy T, Gamble G, Townend K, et al. Perinatal mortality in Type 2 diabetes mellitus. Diabet Med. 2000;17(1):33-9.
- 2. Ferrara A, Peng T, Kim C. Trends in postpartum diabetes screening and subsequent diabetes and impaired fasting glucose among women with histories of gestational diabetes mellitus: a report from the Translating Research Into Action for Diabetes (TRIAD) Study. Diabetes Care 2009;32:269–74.
- 3. Kwong S, Mitchell RS, Senior PA, et al. Postpartum diabetes screening: adherence rate and the performance of fasting plasma glucose versus oral glucose tolerance test. Diabetes Care 2009;32:2242–4.
- 4. Bandyopadhyay M, Small R, Davey MA. Attendance for postpartum glucose tolerance testing following gestational diabetes among South Asian women in Australia: a qualitative study. J Womens Health Issues Care 2015;4:1.
- 5. Bellamy L, Casas JP, Hingorani AD, et al. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet 2009;373: 1773–9.
- 6. Ekelund M, Shaat N, Almgren P, et al. Prediction of postpartum diabetes in women with gestational diabetes mellitus. Diabetologia 2010;53:452–7.
- 7. Moyer VA, U.S. Preventive Services Task Force. Screening for gestational diabetes mellitus:US Preventive Services Task Force recommendation statement. Ann Intern Med 2014;160:414-20.
- 8. Hakan Aytan, Pelin Aytan, Ahmet C. Çalışkan, et al.Gestasyonel diabetes mellitus gelişimini öngörmede ilk trimester maternal Ca 19-9 düzeyleri. Cumhuriyet Tıp Derg 2009; 31: 408-412
- 9.Abouzeid M, Versace VL, Janus ED, et al. A population-based observational study of diabetes during pregnancy in Victoria, Australia, 1999-2008.BMJ Open 2014;4:e005394.
- 10. Feig DS, Hwee J, Shah BR, et al. Trends in incidence of diabetes in pregnancy and serious perinatal outcomes:a large, population based study in Ontario, Canada.1996-2010. Diabetes Care 2014;37:1590-6.
- 11. Kim SY, Saraiva C, Curtis M, et al. Fraction of gestational diabetes mellitus attributable to overweight and obesity by race/ethnicity, California, 2007-2009. Am J Public Health 2013;103:e65-72.
- 12. Bardenheier BH, Elixhauser A, Imperatore G, et al. Variation in prevalence of gestational diabetes mellitus among hospital discharges for obstetric delivery across 23 states in the United States. Diabetes Care 2013;36:1209-14.
- 13. Helton MR, Arndt J, Kebede M, et al. Do low-risk prenatal patients really need a screening glucose challenge test? J Fam Pract. 1997;44(6):556-61.
- 14. Kim C, Liu T, Valdez R, et al. Does frank diabetes in firstdegree relatives of a pregnant woman affect the likelihood of her developing gestational diabetes mellitus or nongestational diabetes? Am J Obstet Gynecol 2009;201:576.e.1-6.
- 15. Hedderson MM, Gunderson EP, Ferrara A. Gestational weight gain and risk of gestational diabetes mellitus. Obstet Gynecol 2010;115:597-604.
- 16. Gibson KS, Waters TP, Catalano PM. Maternal weight gain in women who develop gestational diabetes mellitus. Obstet Gynecol 2012;119:560-5.
- 17. Riskli Gebelikler Yönetim Rehberi. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu Kadın ve Üreme Sağlığı Daire Başkanlığı, Yayın No: 926. Ankara: T.C. Sağlık Bakanlığı 2014.
- 18. Şen C, Yayla M, Api O, et al. Diabetes in pregnancy: diagnosis and treatment. Practice Guidelines of Turkish Perinatology Society. Perinatal Journal 2016;24:110–27.
- 19. Karasu Y. Şeker Yükleme Testine Ne Oldu? Medyanın Halk Sağlığı Üzerine Etkisi. Ankara Eğt. Arş. Hast. Derg. 2018 ; 51/1 : 54-58
- 20. Hoffman SJ, Mansoor Y, Natt N, et al. Celebrities' impact on health-related knowledge, attitudes, behaviors, and status outcomes: protocol for a systematic review, meta-analysis, and meta-regression analysis. Syst Rev. 2017;6(1):13.
- 21. Committee on Practice B-O. Practice Bulletin No. 180: Gestational Diabetes Mellitus. Obstetrics and gynecology. 2017;130(1):e17-e37.
Toplam 21 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 21 Temmuz 2020 |
| Kabul Tarihi | 2 Temmuz 2020 |
| Yayımlandığı Sayı | Yıl 2020Cilt: 42 Sayı: 2 |