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February 2020 -
Volume 18, Issue 2

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From the Editor

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Original Contribution

[Abstract]
Parents' perception and understanding of Non-steroidal anti-inflammatory use in children with Chicken Pox infection and its associated risks
[pdf]
Mir Saad Hussain, Mirza Anwarulhaq
DOI: 10.5742MEWFM.2020.93759

[Abstract]
Prevalence and patterns of complementary and alternative medicine practices among type 2 diabetics
[pdf]
Abdulrahman S. Solaiman, Mohammed A. Alsaleem, Safar A. Alsaleem
DOI: 10.5742MEWFM.2020.93755

[Abstract]
Reproductive risk factors of breast cancer
[pdf]
Sarab K.Abedalrahman, Besmah M.Ali, Ali S. Al-Hashimi, Abid Issa Al-Khalidy
DOI: 10.5742MEWFM.2020.93764

[Abstract]
Risk Factors for Obesity among Psychiatric Patients
[pdf]
Abdullah Qasem Almalki, Safar A. Al-Saleem, Awad S. Al-Samghan
DOI: 10.5742MEWFM.2020.93756

[Abstract]
Public Awareness and Utilization of the Primary Health Care Services in Al-Madinah, Saudi Arabia
[pdf]
Khalid Saad Alghamdi, Jumana Abdullah Taha, Lina Abdulsamad Qari, Montaha Waleed Demyati, Sumayyah AbdulAziz Alzahrani
DOI: 10.5742MEWFM.2020.93757

[Abstract]
Awareness, Knowledge and Attitude of Hand Hygiene Practices among Healthcare workers in Kirkuk Pediatric Hospital
[pdf]
Nife Rajab Mahmood, Mohammed Kh. Abduawahid, Ahmed J Hassan K.
DOI: 10.5742MEWFM.2020.93765

[Abstract]
Epidemiology of falls among elderly people attending primary healthcare centers in Abha City, Saudi Arabia
[pdf]
Eman H. Assiri, Majed H. Assiri, Safar A. Alsaleem, Ahmed H. Assiri, Afrah H. Assiri, Razia Aftab Ahmed, Ossama A. Mostafa
DOI: 10.5742MEWFM.2020.93766

[Abstract]
The Allergic Diseases Commonly Associated with Cow Milk Protein Sensitization: A Retrospective Study (Jeddah - Saudi Arabia)
[pdf]
Moufag Mohammed Saeed Tayeb, Bakr Alhussaini, Mashhoor Saleem Waked, Marwan Nabeel E Flimban, Anas Muwaffaq Tayeb, Abdulmajeed Osamah Rajkhan, Badr Saad Nasser Alaufey, Anas Abdulraheem Almaghrabi, Ahmed Suhail Maimani, Faisal Ali Ibrahim Alghamdi, Omar Abdullah Omar Basfar
DOI: 10.5742MEWFM.2020.93760

Population and Community Studies

[Abstract]
Prevalence of migraine headache and its associated factors among male secondary school teachers
[pdf]
Al-Moatasem A. Al-Hazmi, Safar A. Al-Saleem, Nabil Joseph Awadallah
DOI: 10.5742MEWFM.2020.93751

[Abstract]
Prevalence and Risk Factors of Musculoskeletal Pain among Governmental Male Secondary School Teachers
[pdf]
Thakir A. Alharbi, Safar Abadi, Nabil J. Awadallah
DOI: 10.5742MEWFM.2020.93752

[Abstract]
Prevalence and risk factors for overweight and obesity among primary care physicians
[pdf]
Wesam A. Al-Sadiq, Awad S. Alsamghan, Safar A. Alsaleem
DOI: 10.5742MEWFM.2020.93753

[Abstract]

Physical and Verbal Assault on Medical Staff in Emergency Hospital Departments in Abha City, Saudi Arabia
[pdf]
Mohammed A. Alqahtani, Safar A. Alsaleem, Mohammed Y. Qassem
DOI: 10.5742MEWFM.2020.93754

[Abstract]
What a low sensitivity of high density lipoproteins in the metabolic syndrome
[pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93750

[Abstract]
Knowledge, Attitude and Practice of Primary Health Care Physicians in Abha City about Common Psychiatric Disorders
[pdf]
Ayoub Ali Alshaikh
DOI: 10.5742MEWFM.2020.93758

[Abstract]
Postnatal Care Of Patients With Gestational Diabetes In Primary Care
[pdf]
Mirza Anwarulhaq, Mir Saad Hussain
DOI: 10.5742MEWFM.2020.93761

[Abstract]
Relation of thyroid function and gestational hypertension
[pdf]
Fatehiya Majeed Noori, Alya Abdul-Rahman Sharef, Samira Sherzad Hussien
DOI: 10.5742MEWFM.2020.93763

Education and Training

[Abstract]
Role of Health Literacy and Motivational Interviewing in Building Insight for Self-management of Diabetes Mellitus
[pdf]
Mir Saad Hussain
DOI: 10.5742MEWFM.2020.93762

Case Report

[Abstract]
Spontaneous uterine rupture in first trimester: A case report
[pdf]
Nansi dari Alfayez, Ala Aldin Hindawi, Ahmad Dweekat, Safa Almomani, Nancy Ghishan
DOI: 10.5742MEWFM.2020.93767

Office based family medicine

[Abstract]
Intra-articular injection of hyaluronic acid in patients with knee osteoarthritis in Aden, Yemen
Abdulsalam Abdullah Hadi Mohsen
[pdf]
DOI: 10.5742MEWFM.2020.93767



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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February 2020 - Volume 18, Issue 2

Postnatal Care of Patients With Gestational Diabetes In Primary Care

(1) Specialist Family Medicine (MBBS, MRCGP), AlWajbah Health Centre, Primary Health Care Corporation (PHCC) Doha, Qatar.
(2) Specialist Family Medicine (MBBS, MD, MRCP, MRCGP, PGDDM), Abu Nakhla Health Centre, Primary Health Care Corporation (PHCC) Doha, Qatar

Corresponding Author:
Dr Mirza Anwarulhaq
Specialist Family Medicine (MBBS, MRCGP)
Al Wajbah Health Centre
Primary Health Care Corporation (PHCC) Doha, QatarPhone No. (+974) 66284991
Email: manwarulhaq@phcc.gov.qa

Received: December 2019; Accepted: January 2020; Published: February 1, 2020. Citation: Mirza Anwarulhaq, Mir Saad Hussain. Postnatal Care of Patients With Gestational Diabetes In Primary Care. World Family Medicine. 2020; 18(2): 119-123. DOI: 10.5742MEWFM.2020.93761

Abstract

Background:
Pregnant women with gestational diabetes mellitus (GDM) and their children carry high risk of future type 2 diabetes mellitus and metabolic abnormalities. Early diagnosis of GDM and prompt management, as well as postpartum follow up and preventative care can reduce this future risk. The main objective of this study was to assess the postpartum follow up of GDM patients and to examine the local protocols and policies in place to ensure adherence to national guidelines.

Methods: An initial audit was completed at a local health practice in Scotland, UK by enquiring about the local protocols in place for high risk patients, from all partners and practice staff, by searching for any printed forms or tools available in practice locally and by searching for any online protocols or guidelines at NHS Lanarkshire website. Based on the initial findings, several changes were proposed, agreed by all the staff and implemented for appropriate follow-up of GDM patients postnatally. Secondary data collection was performed 8 weeks after implementation to assess adherence to proposed changes.

Literature Review: A short literature review was conducted to obtain evidence-based recommendations from national guidelines and protocols for appropriate identification and management of GDM patients postnatally.


Results:
Preliminary data revealed that there were no formal follow up protocols in place however after the Proforma suggestion it was decided to make the necessary changes for follow up of high risk discharged patients. Data collection over a 2 month period revealed successful implementation of the suggested protocol resulting in identification and follow up of all GDM patients.

Conclusion: Initially there was no formal mechanism in place to identify high risk GDM patients postnatally for follow up. Once the necessary changes were implemented, it led to successful identification and management of all GDM patients in primary care after discharge from hospital. However, this approach does have some limitations due to additional factors such as the availability and experience of the workforce, IT related issues, and geographical relocation of patients which are beyond control and scope of this project.

Key words: postnatal care, gestational diabetes, primary care



 


 

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