Guidelines for management of hyperglycemia in pregnancy (HIP) by Society of Obstetricians & Gynaecologists of Pakistan (SOGP)#
Shabeen Naz Masood1, Shehla Baqai2, Farrukh Naheed3, Yasir Masood4, Raheel Sikandar5, Rizwana Chaudhri6, Haleema Yasmin7, Razia Korejo8
1 Department of Obstetrics and Gynecology, Isra University, Karachi-Campus, Pakistan
2 Department of Obstetrics & Gynecology, CMH Lahore Medical College, National University of Medical Sciences, Lahore, Pakistan
3 Department of Obstetrics and Gynecology, Baqai Medical University, Karachi, Pakistan
4 Brown School, Washington University in St. Louis, St. Louis, Missouri, USA
5 Department of Obstetrics & Gynecology, Liaquat University of Medical & Health Sciences, Jamshoro, Pakistan
6 Department of Translational Research, Shifa Tameer-e-Millat University, Islamabad, Pakistan
7 Department of Obstetrics & Gynecology, Jinnah Sind Medical University, Karachi, Pakistan
8 Department of Obstetrics & Gynecology, Bahria University Medical & Dental College, Karachi, Pakistan
Dr. Shabeen Naz Masood
Department of Obstetrics and Gynecology, ISRA University, Karachi Campus.
#This document was endorsed by the Diabetes in Asia Study Group (DASG).
Source of Support: None, Conflict of Interest: None
Hyperglycemia in pregnancy (HIP) is an important component of primary prevention of diabetes both globally and in Pakistan. To ensure that the opportunity of primary prevention is not missed it is important to diagnose hyperglycemia early in pregnancy. Universal screening in pregnant women at booking is recommended with its implementation at primary, secondary and tertiary levels of health care settings. These guidelines by Society of Obstetricians and Gynecologists (SOGP) are pragmatic addressing screening methodology, preconception care screening & diagnosis, antenatal care plan, intrapartum and postpartum management & follow up, neonatal care, breastfeeding, contraception, counseling for future pregnancy, lifestyle modification, nutritional recommendations and proper techniques for insulin injection, management of diabetic ketoacidosis (DKA) and recommendations for future research. There are many available guidelines for the screening, diagnosis and management of HIP. The SOGP GDM guidelines recommendations are simple, tailored to the local context especially for the busy health care providers; medical as well as nurse practitioners, for whom it is confusing to choose the recommendations from different available guidelines. These guidelines are meant to standardize clinical practice at all health care levels across the country. In order to ensure its practical utilization, a national GDM registry has been proposed and designed so as to observe its applicability in the clinical practice by health care providers.