Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period

Autor: Alex Brown, P. Van Dokkum, Kerin O'Dea, Harold David McIntyre, Federica Barzi, Paul Zimmet, Louise J. Maple-Brown, Jacqueline Boyle, Elizabeth Moore, Sumaria Corpus, Christine Connors, Anthony J. Hanley, N. Trap-Jensen, Elizabeth L M Barr, Jeremy Oats, Marie Kirkwood, Renae Kirkham, Jonathan E. Shaw, Cherie Whitbread
Přispěvatelé: Kirkham, R, Trap-Jensen, N, Boyle, JA, Barzi, F, Barr, ELM, Whitbread, C, Van Dokkum, P, Kirkwood, M, Connors, C, Moore, E, Zimmet, P, Corpus, S, Hanley, AJ, O'Dea, K, Oats, J, McIntyre, HD, Maple-Brown, L
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Native Hawaiian or Other Pacific Islander
Pregnancy in Diabetics
Preconception Care
Health Services Accessibility
0302 clinical medicine
Pregnancy
postpartum
030212 general & internal medicine
Cultural Competency
030503 health policy & services
Obstetrics and Gynecology
Focus Groups
3. Good health
Perinatal Care
Female
0305 other medical science
Cultural competence
diabetes in pregnancy
Research Article
Adult
medicine.medical_specialty
Maternal-Child Health Services
Attitude of Health Personnel
Reproductive medicine
Health intervention
lcsh:Gynecology and obstetrics
antenatal
Indigenous
03 medical and health sciences
Birth Intervals
Diabetes management
Postpartum
Northern Territory
medicine
Humans
Antenatal
lcsh:RG1-991
Health Services Needs and Demand
business.industry
Infant
healthcare services
medicine.disease
Focus group
Diabetes
Gestational
Family medicine
business
Diabetes in pregnancy
Healthcare services
Zdroj: BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-10 (2019)
BMC Pregnancy and Childbirth
ISSN: 1471-2393
DOI: 10.1186/s12884-019-2562-6
Popis: Background Aboriginal and Torres Strait Islander women experience high rates of diabetes in pregnancy (DIP), contributing to health risks for mother and infant, and the intergenerational cycle of diabetes. By enhancing diabetes management during pregnancy, postpartum and the interval between pregnancies, the DIP Partnership aims to improve health outcomes and reduce risks early in the life-course. We describe a mixed methods formative study of health professional’s perspectives of antenatal and post-partum diabetes screening and management, including enablers and barriers to care. Methods Health professionals involved in providing diabetes care in pregnancy, from a range of health services across the Northern Territory, completed the survey (n = 82) and/or took part in interviews and/or focus groups (n = 62). Results Qualitative findings highlighted factors influencing the delivery of care as reported by health professionals, including: whose responsibility it is, access to care, the baby is the focus and pre-conception care. The main challenges were related to: disjointed systems and confusion around whose role it is to provide follow-up care beyond six weeks post-partum. Quantitative findings indicated that the majority of health professionals reported confidence in their own skills to manage women in the antenatal period (62%, 40/79) and slightly lower rates of confidence in the postpartum interval (57%, 33/58). Conclusion These findings regarding whose role it is to provide postpartum care, along with opportunities to improve communication pathways and follow up care have informed the design of a complex health intervention to improve health systems and the provision of DIP related care.
Databáze: OpenAIRE
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