Obstetricians seldom provide postpartum diabetes screening for women with gestational diabetes.
Publication/Presentation Date
5-1-2008
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.
Volume
198
Issue
5
First Page
1
Last Page
5
ISSN
1097-6868
Published In/Presented At
Almario, C. V., Ecker, T., Moroz, L. A., Bucovetsky, L., Berghella, V., & Baxter, J. K. (2008). Obstetricians seldom provide postpartum diabetes screening for women with gestational diabetes. American journal of obstetrics and gynecology, 198(5), 528.e1–528.e5285. https://doi.org/10.1016/j.ajog.2007.11.001
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
18191799
Department(s)
Administration and Leadership
Document Type
Article