Pitfalls in screening for gestational diabetes in the Czech Republic - patient survey.

OBJECTIVE

The aim of our survey was to investigate gestational diabetes (GDM) screening policy in the Czech Republic with regards to the correct methodology of the screening.

MATERIALS AND METHODS

1100 anonymous questionnaires were distributed among patients of a tertiary level obstetric department from July 2015 to September 2015.

RESULTS

958 (87.0%) questionnaires were found eligible for analysis. 794 (82.9%) of participants had at least one risk factor for GDM development. The oGTT was performed in 751 (94.6%) women at risk of GDM and 153 (93.3%) women at low risk of GDM. From the 904 performed oGTT, 154 (17.0%) were performed completely by recommended standards. In the remaining cases, at least one deviation from standard was noted. The results of oGTT were provided by 364 (40.3%) of respondents. In this subgroup, 71 (19.5%) matched International Association of Diabetes in Pregnancy Study Groups (IADPSG) criteria for GDM diagnosis. However, these women were often not those who were evaluated as screening positive by the office gynaecologist.

CONCLUSION

The screening for GDM was frequently not performed in accordance with the national guidelines and the diagnostic criteria used were not uniform.