What does this research mean for the field?

Gestational diabetes screening uptake in public hospitals in Addis Ababa is low (13.2%), delayed, and predominantly risk-based, highlighting poor adherence to universal screening guidelines. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Evaluate gestational diabetes mellitus (GDM) screening uptake and guideline-concordant testing practices in routine antenatal care across public hospitals.

August 27, 2026PLoS ONEOpen Access

Adherence to gestational diabetes screening guidelines: Retrospective audit in three public hospitals in Ethiopia

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Authors

MRMeselech Assegid RoroAddis Ababa University MTMelaku TayeAddis Ababa University MGMistire Wolde Gebre

Discussion

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Overview

Cross-sectional study reveals low and delayed gestational diabetes screening uptake in routine antenatal care, highlighting significant gaps in implementing universal screening protocols.

Key Points

Evaluate gestational diabetes mellitus (GDM) screening uptake and guideline-concordant testing practices in routine antenatal care across public hospitals.
Conducted a facility-based cross-sectional audit of 1,050 antenatal records for women at ≥28 weeks of gestation or post-delivery across three public hospitals in Addis Ababa, Ethiopia.
Abstracted clinical indications, gestational age at testing, diagnostic methods, and pregnancy outcomes, evaluating determinants of screening uptake via multivariable logistic regression.
GDM screening uptake was 13.2% (139/1,050), with 99.3% of tests prompted by risk indications rather than universal protocols, and only 8.6% of screened women tested during the recommended 24–28-week window (median: 34 weeks [IQR 30–37]).
Among screened individuals, 41.0% (57/139) received a GDM diagnosis, with the oral glucose tolerance test utilized in 87.8% of screenings.
Screening odds were independently associated with specific hospital site, older maternal age, higher parity, and earlier attendance at the initial antenatal care visit.

Cite This Study

Roro et al. (2026) studied this question.

synapsesocial.com/papers/6a8fea3310c91c1e92622472 https://doi.org/10.1371/journal.pone.0357102

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August 27, 2026PLoS ONEOpen Access

Adherence to gestational diabetes screening guidelines: Retrospective audit in three public hospitals in Ethiopia

View Full Paper

Ask AI

Bookmark

Authors

MRMeselech Assegid RoroAddis Ababa University MTMelaku TayeAddis Ababa University MGMistire Wolde Gebre

Discussion

Member takes

Overview

Cross-sectional study reveals low and delayed gestational diabetes screening uptake in routine antenatal care, highlighting significant gaps in implementing universal screening protocols.

Key Points

Evaluate gestational diabetes mellitus (GDM) screening uptake and guideline-concordant testing practices in routine antenatal care across public hospitals.
Conducted a facility-based cross-sectional audit of 1,050 antenatal records for women at ≥28 weeks of gestation or post-delivery across three public hospitals in Addis Ababa, Ethiopia.
Abstracted clinical indications, gestational age at testing, diagnostic methods, and pregnancy outcomes, evaluating determinants of screening uptake via multivariable logistic regression.
GDM screening uptake was 13.2% (139/1,050), with 99.3% of tests prompted by risk indications rather than universal protocols, and only 8.6% of screened women tested during the recommended 24–28-week window (median: 34 weeks [IQR 30–37]).
Among screened individuals, 41.0% (57/139) received a GDM diagnosis, with the oral glucose tolerance test utilized in 87.8% of screenings.
Screening odds were independently associated with specific hospital site, older maternal age, higher parity, and earlier attendance at the initial antenatal care visit.

Cite This Study

Roro et al. (2026) studied this question.

synapsesocial.com/papers/6a8fea3310c91c1e92622472 https://doi.org/10.1371/journal.pone.0357102

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