GDM (Gestational Diabetes Mellitus) Care Programme Pilot programme to provide structured care and education for women with GDM Partner: KK Women's and Children's Hospital
GDM is a condition that develops during pregnancy; statistics indicate that one in five pregnant women in Singapore has GDM.
GDM entails risks for both mother and child. For babies whose mothers have GDM, they are at risk of premature delivery, excessive birth weight, being born in a complicated birth process, having low blood sugar at birth and stillbirth. For mothers, having GDM during pregnancy increases their likelihood of contracting Type 2 diabetes in future by seven times.
In view of these, education on GDM and access to a pathway of care for women with GDM is needed.
The programme provides such a structured care pathway. There is enhanced care during pregnancy, where mothers are screened for GDM early, between 24 and 28 weeks of gestation. If they are tested positive for GDM, there is education about GDM and systematic follow-up care for them.
After delivery, these mothers are provided with structured post-delivery care. Six weeks after delivery, they will be tested for Type 2 diabetes. If the results are positive, they will be referred for follow-up care with a diabetes care partner. Even if they do not have Type 2 diabetes, there will be follow-up care by Diabetes Care Navigators and community healthcare partners. Annual check-ups comprising diabetes Screening, consultations and general health promotion education will be scheduled for them.
The programme will benefit 5,400 women over three years.