Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts, USA.
J Obstet Gynaecol Res. 2021 Aug;47(8):2641-2645. doi: 10.1111/jog.14868. Epub 2021 May 26.
Women with gestational diabetes mellitus (GDM) require postpartum glucose screening, as they have a 70% lifetime risk of developing Type 2 diabetes mellitus. However, less than half complete postpartum screening.
We conducted a retrospective chart review of patients who delivered at our institution from 2001 to 2019. Inclusion criteria were patients with gestational diabetes who were at least 18 years old and had delivered an infant at >24 weeks of gestation. Our primary outcome was completion of postpartum gestational diabetes screening.
The majority of patients (62%) did not complete screening. After adjusted risk ratio analyses, the only variables that remained significantly associated with an increased likelihood of completing screening were Asian race and having prenatal care at one particular community health center, which served a predominantly Asian population.
This community health center protocol for scheduling patients with GDM that complied with recommendations for postpartum care, indicating that evidence-based methods can improve maternal health.
患有妊娠糖尿病（GDM）的女性需要进行产后血糖筛查，因为她们一生中患 2 型糖尿病的风险为 70%。然而，只有不到一半的人完成了产后筛查。
我们对 2001 年至 2019 年在我们机构分娩的患者进行了回顾性图表审查。纳入标准为年龄至少 18 岁且分娩孕周大于 24 周的妊娠糖尿病患者。我们的主要结局是完成产后妊娠糖尿病筛查。
大多数患者（62%）未完成筛查。经过调整后的风险比分析，唯一与完成筛查的可能性显著相关的变量是亚洲种族和在一家特定的社区健康中心进行产前护理，该中心主要服务于亚洲人群。
这家社区健康中心为 GDM 患者安排产后护理的方案符合建议，表明循证方法可以改善母婴健康。
