Non-compliance to clinical practice guideline for screening of gestational diabetes mellitus in Siriraj Hospital.
OBJECTIVE
To evaluate the rate of non-compliance to Clinical Practice Guideline (CPG) for screening of Gestational Diabetes Mellitus (GDM) and related factors in Siriraj Hospital.


METHODS
Descriptive cross-sectional study.


METHODS
Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University.


METHODS
One-hundred-and-fifty-nine pregnant women at risk for GDM and who delivered at Siriraj Hospital were enrolled Data were collected from history and medical records including base line characteristics, clinical risk factors of GDM, and compliance to guideline. Rate of non-compliance and related factors were evaluated


RESULTS
The rate of non-compliance to GPG for screening of GDM at Siriraj Hospital was 22% (95%CI 16.3%-29.1%). The rate was highest among women who had AnteNatal Care (ANC) at a private clinic (82.1%), followed by the private cases in the hospital (40%). Those who received ANC at the hospital had the lowest non-compliance rate of 6.6%. The most common neglected risk factor was maternal age > or = 30 years. Significant higher compliance was found among women with 2 or more clinical risk factors compared to those with only 1 risk factor (p = 0.028).


CONCLUSIONS
The rate of non-compliance to CPG for screening of GDM at Siriraj Hospital was 22%. Highest non-compliance rate was found among the private cases. The most common neglected risk factor was maternal age > or = 30 years.
Ruengkhachorn
Irene
I
Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Sunsaneevithayakul
Prasert
P
Boriboonhirunsarn
Dittakarn
D
D000328:Adult; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000517:prevention & control; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006785:Hospitals, University / Q000592:standards; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D009775:Obstetrics and Gynecology Department, Hospital / Q000592:standards*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D018570:Risk Assessment; D012307:Risk Factors; D013785:Thailand