| Patient counseling increases postpartum follow-up in women with gestational diabetes mellitus. | |
| | |
MedLine Citation:
|
PMID: 21514559 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
OBJECTIVE: The objective of the study was to evaluate the efficacy of an educational intervention at increasing the rates of postpartum (PP) follow-up for women with gestational diabetes mellitus (GDM). STUDY DESIGN: A retrospective cohort study of all patients with GDM delivering during 2002-2009 was conducted. The primary outcome was obtaining PP diabetes testing. The 2002-2006 cohort was advised to obtain PP testing by their providers. The 2007-2009 cohort received educational counseling at the 37-38 week visit by a nurse educator. Univariate and multivariable statistical tests were utilized. RESULTS: The PP testing frequency was 53% for the 2007-2009 cohort, compared with 33% for the 2002-2006 cohort (P < .001). When stratified by race/ethnicity, increased rates of testing were seen in whites (28% to 53%, P < .001), Latinas (15% to 50%, P < .001), and Asians (43% to 59%, P = .005). There was a nonsignificant decrease in the African American follow-up, 28% to 17% (P = .414). CONCLUSION: GDM precedes the development of type 2 diabetes. Antepartum education counseling increases postpartum diabetes testing. More efforts are needed to obtain universal screening. |
| | |
Authors:
|
Marina Stasenko; Jennifer Liddell; Yvonne W Cheng; Teresa N Sparks; Molly Killion; Aaron B Caughey |
Related Documents
:
|
16222609 - Glycation, carbonyl stress, eagles, and the vascular complications of diabetes. 3075949 - Nutritional deficiency, starvation, and tissue antioxidant status. 17034659 - Metabolism of troglitazone in hepatocytes isolated from experimentally induced diabetic... 8714439 - Leukocyte lipid peroxidation, superoxide dismutase, glutathione peroxidase and serum an... 3387589 - The spontaneously diabetic wistar-bb rat manifests altered grooming and catalepsy respo... 19739009 - Selenium and diabetes: an enigma? 21969479 - Use of outcomes in monitoring healthcare - how many outcome measures are needed in moni... 22236479 - Thioredoxin interacting protein genetic variation is associated with diabetes and hyper... 2954529 - Induction and management of diabetes mellitus in the pig. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-4-21 |
Journal Detail:
|
Title: American journal of obstetrics and gynecology Volume: - ISSN: 1097-6868 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
|
Created Date: 2011-4-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011. Published by Mosby, Inc. |
Affiliation:
|
Weill Cornell Medical College, New York, NY. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Medication use during pregnancy, with particular focus on prescription drugs: 1976-2008.
Next Document: Clinically accurate fetal ECG parameters acquired from maternal abdominal sensors.