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Am J Obstet Gynecol. 2008 May;198(5):528.e1-5. doi: 10.1016/j.ajog.2007.11.001. Epub 2008 Jan 14.

Obstetricians seldom provide postpartum diabetes screening for women with gestational diabetes.

Author information

1
Department of Obstetrics and Gynecology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA.

Abstract

OBJECTIVE:

We aimed to determine whether obstetrician-gynecologists provided postpartum type 2 diabetes mellitus screening for women with a history of gestational diabetes.

STUDY DESIGN:

We identified women diagnosed with gestational diabetes, and then assessed whether obstetrician-gynecologists provided postpartum diabetes mellitus screening by ordering American Diabetes Association-recommended glucose tests or by referring women to primary care physicians for such testing.

RESULTS:

Of 2617 gravid women with a 1-hour glucose challenge test, 90 had gestational diabetes and postpartum follow-up. Only 20.0% (18/90) of women with a history of gestational diabetes had documented orders from obstetrician-gynecologists for American Diabetes Association-recommended postpartum diabetes mellitus screening tests. Even when we broadened our definition of "providing postpartum diabetes mellitus screening" to also include referrals to primary care physicians, only 33.3% (30/90) of women met such criteria.

CONCLUSION:

Obstetrician-gynecologists at an academic medical center did not provide postpartum diabetes mellitus screening for 66.7% of women with a history of gestational diabetes.

PMID:
18191799
DOI:
10.1016/j.ajog.2007.11.001
[Indexed for MEDLINE]

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