title: [Resident Gynaecologists' Attitudes towards the Inclusion of the Screening for Gestational Diabetes into the Maternity Directive: A Qualitative Study].
abstract: BACKGROUND
  In March 2012, the screening for gestational diabetes was included as a 2-step screening into the German maternity directive. However, up to now it is unclear what resident gynaecologists, who are affected directly by this change in the maternity directive, think about the inclusion of the screening and the kind of screening introduced.
  
  
  METHODS
  In order to approach this topic from a scientific point of view, gynaecologists in the German cities Mannheim, Ludwigshafen, and Heidelberg were interviewed face-to-face using a semi-structured interview guide with open-ended questions (mean interview length: 33:12 min). The interviews were audiotaped, transcribed verbatim (191 pages), coded by 2 independent reviewers, and analysed using qualitative content analysis.
  
  
  RESULTS
  The majority of the gynaecologists supported the introduction of the screening into the maternity directives. However, some gynaecologists felt that this amendment is not strong enough criticising the GCT with 50 g glucose. Many gynaecologists would prefer an oral glucose tolerance test (OGTT, 75 g glucose). But there were also some gynaecologists who thought that the OGTT would strain pregnant women too much and thus deemed it unsuitable for a screening. Additionally, the gynaecologists named difficulties concerning the implementation of the test such as, for example, the non-availability of a ready-made glucose syrup for the GCT and the delayed introduction of billing codes.
  
  
  CONCLUSIONS
  In the framework of this qualitative study, resident gynaecologists--the main actors in the conduct of the screening--had the possibility to offer their opinion on this current topic. The results provide a first insight into the conduct of the screening and may serve as a basis for larger, quantitative studies.
authors.affiliation: Medizinische Fakultät Mannheim, Mannheimer Institut für Public Health, Sozial- und Präventivmedizin, Universität Heidelberg, Mannheim.
authors.forename: K
authors.initials: K
authors.lastname: Diehl
authors.affiliation: Medizinische Fakultät Mannheim, Mannheimer Institut für Public Health, Sozial- und Präventivmedizin, Universität Heidelberg, Mannheim.
authors.forename: T
authors.initials: T
authors.lastname: Görig
authors.affiliation: Medizinische Fakultät Mannheim, Mannheimer Institut für Public Health, Sozial- und Präventivmedizin, Universität Heidelberg, Mannheim.
authors.forename: C
authors.initials: C
authors.lastname: Bock
authors.affiliation: Geburtshilfe, Perinatalmedizin und Pränataldiagnostik, Marienkrankenhaus Hamburg, Hamburg.
authors.forename: H
authors.initials: H
authors.lastname: Maul
authors.affiliation: diabetologikum Kiel, -, Kiel.
authors.forename: H
authors.initials: H
authors.lastname: Kleinwechter
authors.affiliation: Medizinische Fakultät Mannheim, Mannheimer Institut für Public Health, Sozial- und Präventivmedizin, Universität Heidelberg, Mannheim.
authors.forename: S
authors.initials: S
authors.lastname: Schneider
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D005858:Germany / Q000453:epidemiology; D005951:Glucose Tolerance Test / Q000592:standards / Q000706:statistics & numerical data; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data*; D006176:Gynecology / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency / Q000592:standards / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000592:standards / Q000706:statistics & numerical data; D008875:Middle Aged; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000592:standards* / Q000706:statistics & numerical data*; D055815:Young Adult