Adherence to postpartum diabetes mellitus screening, do associated pregnancy complications make a difference?
| Autor: | Reut Rotem, Simrit Salem-Yaniv, Hadar Sandler-Rahat, David Yohay, Shanny Sade, Adi Y. Weintraub, Lior Yahav |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Polyhydramnios medicine.medical_specialty endocrine system diseases Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Fetal Macrosomia Diabetes Complications 03 medical and health sciences Shoulder dystocia 0302 clinical medicine Endocrinology Pregnancy Statistical significance Diabetes mellitus Glucose Intolerance Internal Medicine Humans Mass Screening Medicine 030212 general & internal medicine Retrospective Studies Univariate analysis Cesarean Section business.industry Obstetrics Incidence Postpartum Period Retrospective cohort study General Medicine Glucose Tolerance Test medicine.disease female genital diseases and pregnancy complications Pregnancy Complications Gestational diabetes Diabetes Gestational Patient Compliance Female business |
| Zdroj: | Diabetes Research and Clinical Practice. 159:107972 |
| ISSN: | 0168-8227 |
| DOI: | 10.1016/j.diabres.2019.107972 |
| Popis: | Aims We aimed to investigate the impact of Gestational Diabetes Mellitus (GDM) complications on compliance with postpartum Diabetes screening. Methods A retrospective cohort study was conducted comparing screening rates of women with and without GDM associated complications who delivered at the Soroka University Medical Center, between 2016 and 2017. The screening test of choice was a 2-hour 75 g oral glucose tolerance test, taken 6–12 weeks after delivery. GDM associated complications included one or more of the following: polyhydramnios, macrosomia, shoulder dystocia or cesarean section. Univariate analysis was used in order to examine if GDM associated complications were associated with postpartum diabetes screening. Results During the study period a 164 women were included, of which, 82 women had suffered from GDM associated complications and comprised the study group and 82 women with GDM but without complications comprised the comparison group. Women in the study group were significantly older with a higher parity order. Induction rates were significantly higher among the comparison group, whereas, cesarean section rates were higher among the study group. No difference was noted with regard to neonatal outcomes. Women in the study group were not found to be more likely to be given screening recommendations at discharge (P = 0.50), at their postpartum visit (P = 0.36) or to perform DM screening postpartum (P = 0.17). Conclusion Women with GDM associated complications had a higher rate of compliance to postpartum DM screening recommendations. However, in the current study this difference did not reach statistical significance. |
| Databáze: | OpenAIRE |
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