Chinese Journal of Medical History / Zhong Hua Yi Shi Za Zhi

[This article belongs to Volume - 53, Issue - 02]

Abstract : Gestational diabetes (GD) represents one of the public health problems due to its inherent complications. It is a hyperglycemia revealed during pregnancy that requires adequate management by qualified health professionals to better manage the pregnancy and avoid risks. This work aims to determine the different barriers to optimal management of gestational diabetes in the province of Safi in Morocco. This is a cross-sectional study, carried out among health professionals working in health centers, birthing centers and hospital maternity wards. The chi-square test was used to evaluate the association between variables. The study shows that 84.6% of health professionals referred pregnant women with gestational diabetes to other profiles. Lack of care was significantly associated with work location (p<0.001); caregiver profile (p=0.009); nature of work structure (p<0.001); continuing education (p<0.001), fasting blood glucose (p=0.043) and 75g OGTT (p=0.042). In spite of the efforts made by the Moroccan Ministry of Health, barriers to optimal management still exist, which requires a global and multidisciplinary reflection to better manage the GD disease and avoid future complications.