Professional Documents
Culture Documents
Criteria
Structure
Gestational Diabetic
Registry
There should be a
100%
Gestational
Diabetic Registry in
the health clinic.
There should be a
Gestational Diabetic
Registry in the
health clinic
Written management
protocol
There should be a
written management
protocol for diabetes
mellitus in the clinic
Glucometer
There should be a
functional
glucometer in the
health clinic.
At least 80% of
Gestation Diabetic
Mother have blood
HbA1C level
measured and
recorded at least
once throughout
their antenatal
follow up in Health
Clinic.
Process
HbA1C level
Blood pressure
100%
Blood pressure
measurement and
recording during
every antenatal visit
should be done in all
pregnant women
with Gestational
Diabetes.
should be measured
and recorded
during every
antenatal visit in
pregnant women
with Gestational
Diabetes.
3
Weight measurement
Weight should be
measured and
recorded at every
antenatal visit.
100%
Urine dipstick
performed
Urinalysis for
proteinturia and
glucose is
performed at every
antenatal visit and
recorded.
100%
At least 80% of
pregnant women
have been assessed
for the risk of
developing
Gestational Diabetes
and recorded.
OGTT done as
90%
early as first
antenatal visit or
within 16-18 weeks
in pregnant women
with high risk for
Gestational
Diabetes
OGTT should be
carried out as early
as first antenatal
visit or within 16-18
weeks in at least
90% of pregnant
women with high
risk for Gestational
Diabetes.
BMI>27 kg/m2
Previous unexplained
intrauterine death
Previous
macrocosmic baby
weight 4kg
History of congenital
anomalies
Previous pregnancy
with GDM
Recurrent vaginal
infection
Glycosuria at the first
or any prenatal visit
6
Re-evaluation of high
risk pregnant women
who initially tested
negative.
Re-evaluation of
80%
high risk pregnant
women who
initially tested
negative with
OGTT performed at
least once within 4
to 6 weeks later or
at 24 to 28 weeks.
Re-evaluation of
Gestational Diabetes
with OGTT
performed at least
once within 4 to 6
weeks later or at 24
to 28 weeks should
be done in at least
80% of high risk
pregnant women
who initially tested
negative.
At least 80% of
pregnant women
with Gestational
Diabetes should
have their blood
sugar profile
recorded at least
once during their
antenatal visit.
Referred to a dietician
At least 80% of
mothers who are
diagnosed with
gestational diabetes
are referred to
dietician for
nutritional
counseling within a
month after
diagnosed.
1
0
80%
At least 80% of
patient who had
failed diet control
are started on
insulin therapy
within 1-2 weeks
interval.
Outcome
At least 70% of
pregnant women
with gestational
diabetes mellitus
should have
achieved the target
blood glucose level
of pre-pradial or 2
hour postprandial
which are 5.3 and
6.7 respectively
for the last three
measurement during
the gestational
period.
Blood pressure
level should be
140/80 mmHg for
all antenatal follow
up visits.
70%
Development of
maternal complication
during perinatal period
such as:
70%
At least 70% of
mother did not
develop
complication during
perinatal period due
to gestational
diabetes mellitus.
Development of foetal
There should be no 70%
complication during
foetal complication
perinatal period such as: develop during
perinatal period due
Macrosomnia
to gestational
diabetes mellitus.
Shoulder dystocia
At least 70% of
neonates did not
develop
complication during
perinatal period due
to gestational
diabetes mellitus.
Lower
segment caesarian
section
There should be no
maternal
complication
develop during
perinatal period
due to gestational
diabetes mellitus.
Perineal
Trauma
Preeclampsia
Polyhydramni
os
Prolonged
labour
4
Stiltbirth
Neonatal
Hypoglycemia
DATA ENTRY
Pt No
Patients Registration No.
Age
Race
HbA1c level
Weight measurement
Referred to a dietician
7.0 APPENDIX
7.1 Gant Chart
Month
Week
Topic selection and approval
Data analysis
Writing report
Report submission
April 2016
1
May 2016
4