Introduction

Gestational diabetes mellitus (GDM) increases pregnancy complications and future development of diabetes. Success of initiatives to increase GDM awareness depends upon the knowledge level of healthcare providers and antenatal women.

Materials and method

It is a descriptive, cross-sectional study done in a teaching hospital in North India. Two pre-tested, semi-structured questionnaires assessing the basic and advanced knowledge on GDM were used. Participants included antenatal women, undergraduate trainees who filled the level 1 questionnaire, and postgraduate residents, MBBS 3rd professional students, who filled the level 2 questionnaire. The level of awareness was compared across groups using chi-square. Kruskal–Wallis H test was applied to check if the distribution of scores varied significantly across the three groups for both levels.

Results

A total of 1402 study subjects filled the level 1 questionnaire (nursing and paramedic students 680/1402, 48.5%; MBBS 1st and 2nd professional students 422/1402, 30.1%; antenatal women 300/1402, 21.4%) and 500 study subjects (postgraduate residents: obstetrics 50/500, 10%; physiology 25/500, 5%; medicine 25/500, 5%; MBBS 3rd professional students 400/500, 80%) were asked level 2 questionnaires. Antenatal women had significantly better basic knowledge than medical and paramedic trainees (p < 0.001). Among level 2 respondents, obstetrics residents had the highest score followed by MBBS 3rd year professionals (p < 0.001).

Conclusion

Antenatal women had better knowledge than medical and paramedical trainees due to intensive education and counselling at every point of contact. Significant learning gaps exist in medical and paramedic trainees which need attention. For the advanced level of awareness, regular continued medical education programs are required.

中文翻译：

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研究印度北部教学医院产前妇女、医疗和辅助医疗实习生对妊娠期糖尿病的认识

介绍

妊娠期糖尿病 (GDM) 会增加妊娠并发症和糖尿病的未来发展。提高 GDM 意识的举措的成功取决于医疗保健提供者和产前妇女的知识水平。

材料与方法

这是在印度北部的一家教学医院进行的描述性横断面研究。使用了两个预先测试的、半结构化的问卷来评估 GDM 的基础知识和高级知识。参与者包括填写第 1 级问卷的产前妇女、本科生，以及填写第 2 级问卷的研究生、MBBS 第三专业学生。使用卡方比较各组的意识水平。应用 Kruskal-Wallis H 检验来检查三个组中两个级别的分数分布是否有显着差异。

结果

共有 1402 名研究对象填写了 1 级问卷（护理和护理专业学生 680/1402，48.5%；MBBS 第一和第二专业学生 422/1402，30.1%；产前妇女 300/1402，21.4%）和 500 个研究对象研究生住院医师：产科 50/500，10%；生理学 25/500，5%；医学 25/500，5%；MBBS 第三专业学生 400/500，80%）被要求进行 2 级问卷调查。产前妇女的基础知识明显优于医疗和护理人员受训人员 ( p  < 0.001)。在第 2 级受访者中，产科住院医师的得分最高，其次是 MBBS 第 3 年专业人士 ( p  < 0.001)。

结论

由于在每个接触点都接受了强化教育和咨询，产前妇女比医学和辅助医学受训者拥有更好的知识。需要注意的医疗和护理人员受训人员存在显着的学习差距。对于高级意识水平，需要定期继续医学教育计划。