WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions
The woman is considered at risk for GDM if she has any of the following risk factors:
– BMI of 30 kg/m2 or more
– Previous GDM
– Previous macrosomia
– Glycosuria on dipstick testing is ++ or above on one occasion OR + on two or more occasions
Please provide appropriate counseling for GDM risk mitigation, including:
– Reasserting dietary interventions
– Reasserting physical activity during pregnancy If:Applicability: ((((((("BMI" ≥ 30)
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative"))
OR (("Past pregnancy complications" = "Gestational diabetes mellitus")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Past pregnancy complications" = "Macrosomia")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Urine dipstick result – glucose" = "++")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Urine dipstick result – glucose" = "+++")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Urine dipstick result – glucose" = "++++")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Urine dipstick result – glucose" = "+" ON MORE THAN ONE TEST ACROSS PREGNANCY)
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")) (Should Provide counselling on gestational diabetes mellitus (GDM) risk)