PRECONCEPTION COUNSELING IN WOMEN WITH DIABETES BY PRIMARY CARE PROVIDERS AND PERCEIVED BARRIERS TO INITIATING THIS DISCUSSION
| Autor: | Marc Vengrove, Melissa M Dion Md, Sandhya Venkataraman, Gretchen Perilli, Meredith Rochon, Angela Magdaleno |
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| Rok vydání: | 2019 |
| Předmět: |
Counseling
medicine.medical_specialty Endocrinology Diabetes and Metabolism MEDLINE 030209 endocrinology & metabolism Primary care Preconception Care 03 medical and health sciences 0302 clinical medicine Endocrinology Obstetrics and gynaecology Pregnancy Diabetes mellitus Diabetes Mellitus Medicine Humans 030212 general & internal medicine Retrospective Studies Primary Health Care business.industry Medical record Retrospective cohort study General Medicine medicine.disease Family medicine Female business |
| Zdroj: | Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists. 26(2) |
| ISSN: | 1530-891X |
| Popis: | Objective: To evaluate the frequency that women with diabetes mellitus seen by a primary care provider receive preconception counseling; to identify barriers to preconception counseling; and to determine differences between family medicine, internal medicine, and obstetrics and gynecology. Methods: This was a retrospective cohort study in which medical records were reviewed to determine if preconception counseling was done. An electronic survey evaluated how often preconception counseling was provided and identified perceived barriers to preconception counseling. Characteristics of those who received preconception counseling and those who did not, and survey responses between disciplines, were compared. Results: Women that met inclusion criteria: 577 (18.9% of whom received preconception counseling). A total of 88.7% of primary care providers indicated that preconception counseling was important, but only 39.2% reported that they regularly provide preconception counseling. Conclusion: Women with diabetes mellitus do not regularly receive preconception counseling by primary care providers. Lack of time and knowledge were the most commonly identified barriers to providing preconception counseling. Abbreviations: DM = diabetes mellitus; FM = family medicine; HbA1c = hemoglobin A1c; IM = internal medicine; LVHN = Lehigh Valley Health Network; Ob/Gyn = obstetrics/gynecology; PC = preconception counseling; PCP = primary care provider |
| Databáze: | OpenAIRE |
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