Clinical Trial and Research Unit, Illawarra and Shoalhaven Local Health District, Wollongong, New South Wales, Australia.
Research Central, NSW Health, Wollongong, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2021 Aug;61(4):536-539. doi: 10.1111/ajo.13312. Epub 2021 Jan 27.
Post-partum follow up testing of women with gestational diabetes mellitus (GDM) is important. All women, and their family doctors, receive written reminders. There are no recent major Australian reviews of the efficacy and compliance with this advice conducted in an ethnically representative population and using the current diagnostic criteria.
The aim was to examine a cohort of women with recently diagnosed GDM and a completed pregnancy to determine what proportion had been tested and what were the difficulties in having testing carried out.
Women who were diagnosed with gestational diabetes and attended the Diabetes Service in 2017 were followed up in 2019. Attempted contact was made using an unidentified land line, an identifiable mobile phone and a postal survey. Compliance with testing advice was the major parameter considered.
There were 714 women with GDM, 75 were excluded: 64 after pass one and 11 after pass two. In total, only 339/639 (53.1%) could be contacted. Of these women, 334 agreed to be surveyed; 207 (62.0%) had a post-partum test. Of the 127 women who had not had a test, 113 agreed to have an HbA1c. Only 13/113 (11.5%) had this done within a month.
Contacting women, even within a short time after the pregnancy, is difficult. The number of post-partum tests carried out is suboptimal. Written advice to all women and their doctors does not appear to be working. A review of the cost effectiveness of this approach and development of new methods may be worthwhile.
对患有妊娠糖尿病（GDM）的女性进行产后随访检测非常重要。所有女性及其家庭医生都会收到书面提醒。在最近的澳大利亚，尚未有针对具有代表性的种族人群，并使用当前诊断标准的此类建议的效果和依从性进行的大型审查。
本研究旨在检查一组新近诊断为 GDM 并已完成妊娠的女性，以确定有多少人接受了检测以及在进行检测时遇到了哪些困难。
2017 年被诊断为妊娠糖尿病并在糖尿病科就诊的女性于 2019 年进行了随访。使用未标识的固定电话、可识别的移动电话和邮寄调查尝试与她们联系。主要考虑的参数是是否遵循了检测建议。
共有 714 名患有 GDM 的女性，其中 75 人被排除在外：首次随访排除 64 人，二次随访排除 11 人。总共只能联系到 639 名女性中的 339 名（53.1%）。在这些女性中，有 334 人同意接受调查；207 人（62.0%）接受了产后检测。在未接受检测的 127 名女性中，有 113 人同意进行 HbA1c 检测。只有 13/113（11.5%）在一个月内进行了检测。
即使在产后很短的时间内联系女性也很困难。进行的产后检测数量不理想。向所有女性及其医生提供书面建议似乎效果不佳。可能值得对这种方法的成本效益进行审查，并开发新方法。
