PRECONCEPTION COUNSELING IN WOMEN WITH DIABETES BY PRIMARY CARE PROVIDERS AND PERCEIVED BARRIERS TO INITIATING THIS DISCUSSION.
Objective To evaluate the frequency that women with diabetes mellitus seen by a primary care provider receive preconception counseling; to identify barriers to preconception counseling; and to determine differences between family medicine, internal medicine, and obstetrics and gynecology.
Study design This was a retrospective cohort study in which medical records were reviewed to determine if preconception counseling was done. An electronic survey evaluated how often preconception counseling was provided and identified perceived barriers to preconception counseling. Characteristics of those who received preconception counseling and those who did not, and survey responses between disciplines were compared.
Result Women that met inclusion criteria: 577-18.9% of whom received preconception counseling. 88.7% of primary care providers indicated that preconception counseling was important, but only 39.2% reported that they regularly provide preconception counseling. Conclusion Women with diabetes mellitus do not regularly receive preconception counseling by primary care providers. Lack of time and knowledge were the most commonly identified barriers to providing preconception counseling.
Published In/Presented At
Magdaleno, A. Venkataraman, S. Dion, M. Rochon, M. Perilli, G. Vengrove, M. A. (2019). PRECONCEPTION COUNSELING IN WOMEN WITH DIABETES BY PRIMARY CARE PROVIDERS AND PERCEIVED BARRIERS TO INITIATING THIS DISCUSSION. Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists.
Endocrinology, Diabetes, and Metabolism | Internal Medicine | Obstetrics and Gynecology
Department of Medicine, Department of Medicine Faculty, Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty