Factors affecting attendance at postpartum diabetes screening in women with gestational diabetes mellitus
Author(s)
Sterne, Vicky
Logan, T
Palmer, Michelle
Year published
2011
Metadata
Show full item recordAbstract
Fifty percent of women diagnosed with gestational diabetes mellitus (GDM) will be diagnosed with diabetes within 10 years. Attendance rates to postpartum screening are only 48-56% and the barriers or facilitators to screening attendance among women diagnosed with GDM have not previously been examined. This study therefore aimed to examine the barriers and facilitators to attendance at postpartum diabetes screening as reported by women following a recent history of GDM. This study was a cross-sectional telephone survey of Australian women who had been diagnosed with GDM in a Queensland hospital during the period July 2006 ...
View more >Fifty percent of women diagnosed with gestational diabetes mellitus (GDM) will be diagnosed with diabetes within 10 years. Attendance rates to postpartum screening are only 48-56% and the barriers or facilitators to screening attendance among women diagnosed with GDM have not previously been examined. This study therefore aimed to examine the barriers and facilitators to attendance at postpartum diabetes screening as reported by women following a recent history of GDM. This study was a cross-sectional telephone survey of Australian women who had been diagnosed with GDM in a Queensland hospital during the period July 2006 to June 2007. Rates of attendance at postpartum diabetes screening were assessed, and reported barriers and facilitators to postpartum screening were grouped into themes. Of 187 eligible participants, 88 women were surveyed (aged 33ᶠyears, parity 1(0-5)). Half (53.4%) of respondents attended postpartum diabetes screening. Barriers to screening included a lack of awareness of the need to attend screening, the inconvenience associated with the 2-3 hour length of the OGTT, and the need to attend screening with infants and young children. Reported facilitators included improved awareness of the need for screening, multiple reminders, and a more convenient test. Facilitation strategies aimed at increasing the awareness of postpartum diabetes risks and promoting the provision of accurate and consistent screening advice from medical providers may assist in improving attendance to postpartum diabetes screening. A national database established from the National Diabetes Service Scheme could be used for routine screening reminders for women.
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View more >Fifty percent of women diagnosed with gestational diabetes mellitus (GDM) will be diagnosed with diabetes within 10 years. Attendance rates to postpartum screening are only 48-56% and the barriers or facilitators to screening attendance among women diagnosed with GDM have not previously been examined. This study therefore aimed to examine the barriers and facilitators to attendance at postpartum diabetes screening as reported by women following a recent history of GDM. This study was a cross-sectional telephone survey of Australian women who had been diagnosed with GDM in a Queensland hospital during the period July 2006 to June 2007. Rates of attendance at postpartum diabetes screening were assessed, and reported barriers and facilitators to postpartum screening were grouped into themes. Of 187 eligible participants, 88 women were surveyed (aged 33ᶠyears, parity 1(0-5)). Half (53.4%) of respondents attended postpartum diabetes screening. Barriers to screening included a lack of awareness of the need to attend screening, the inconvenience associated with the 2-3 hour length of the OGTT, and the need to attend screening with infants and young children. Reported facilitators included improved awareness of the need for screening, multiple reminders, and a more convenient test. Facilitation strategies aimed at increasing the awareness of postpartum diabetes risks and promoting the provision of accurate and consistent screening advice from medical providers may assist in improving attendance to postpartum diabetes screening. A national database established from the National Diabetes Service Scheme could be used for routine screening reminders for women.
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Journal Title
Practical Diabetes International
Volume
28
Issue
2
Subject
Nutrition and Dietetics not elsewhere classified
Clinical Sciences