Prenatal care in a specialized diabetes in pregnancy program improves compliance with postpartum testing in GDM women
| Autor: | Neda Ghaffari, Jamie A. Bastek, Celeste Durnwald, Terri Huynh |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Postnatal Care medicine.medical_specialty Time Factors Prenatal care 03 medical and health sciences 0302 clinical medicine Primary outcome Pregnancy medicine Humans Mass Screening 030212 general & internal medicine Oral glucose tolerance Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Postpartum Period Diabetes in pregnancy Obstetrics and Gynecology Prenatal Care Retrospective cohort study Glucose Tolerance Test medicine.disease Gestational diabetes Diabetes Gestational Diabetes Mellitus Type 2 Case-Control Studies Pediatrics Perinatology and Child Health Patient Compliance Female business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 30:1075-1079 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.1080/14767058.2016.1201472 |
| Popis: | To evaluate whether prenatal care in a specialized diabetes in pregnancy program (DMC) improves compliance with completion of the 2-h 75 g oral glucose tolerance test (2HrOGTT) in GDM women.A retrospective cohort study of GDM women delivering in a university health system between January 2011 and March 2014 was performed. Women were divided into two groups: those receiving care in prenatal clinics over an 18-month period prior to the establishment of the diabetes in pregnancy clinic (pre-DMC) and those receiving prenatal care in a specialized diabetes in pregnancy clinic (post-DMC). The primary outcome was completion of the 2HrOGTT postpartum. Clinical characteristics associated with 2HrOGTT completion were evaluated. Time trend analysis was performed to evaluate month to month variation in 2HrOGTT compliance for secular trends.A total of 292 women were analyzed, 147 post-DMC and 118 pre-DMC. The 2HrOGTT was ordered more frequently in the post-DMC compared to pre-DMC (90.0 versus 53.0%, p 0.0001). Rates of completion of the 2HrOGTT were 49.2% post-DMC and 25.0% pre-DMC, p = 0.007. After adjusting for potential confounders, women who received prenatal care post-DMC were 2.98 times more likely to complete the 2HrOGTT compared to those receiving care pre-DMC (OR 2.98 [1.34, 6.62], p = 0.007).Providers were 5.9 times more likely to order the recommended testing for GDM women who attended the postpartum visit in the post-DMC period. GDM women who receive prenatal care in a specialized diabetes in pregnancy program are more likely to complete the 2HrOGTT in the postpartum period. |
| Databáze: | OpenAIRE |
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