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Barriers to Postpartum Glucose Intolerance Screening in an Italian Population
Background: Gestational diabetes mellitus (GDM) is a strong risk factor for type 2 diabetes mellitus (T2D) and the postpartum period is crucial for early treatment in at-risk women. However, despite recommendations, only a fraction of women undergo a postpartum screening for glucose intolerance (ppO...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313594/ https://www.ncbi.nlm.nih.gov/pubmed/30558120 http://dx.doi.org/10.3390/ijerph15122853 |
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author | Quaresima, Paola Visconti, Federica Chiefari, Eusebio Puccio, Luigi Foti, Daniela P. Venturella, Roberta Vero, Raffaella Brunetti, Antonio Di Carlo, Costantino |
author_facet | Quaresima, Paola Visconti, Federica Chiefari, Eusebio Puccio, Luigi Foti, Daniela P. Venturella, Roberta Vero, Raffaella Brunetti, Antonio Di Carlo, Costantino |
author_sort | Quaresima, Paola |
collection | PubMed |
description | Background: Gestational diabetes mellitus (GDM) is a strong risk factor for type 2 diabetes mellitus (T2D) and the postpartum period is crucial for early treatment in at-risk women. However, despite recommendations, only a fraction of women undergo a postpartum screening for glucose intolerance (ppOGTT). The present study aims to verify the reason(s) for poor adherence in our population. Research design and methods: This retrospective study includes 451 women in which GDM was diagnosed between 2015–2016. During 2017, we verified by phone interview how many women underwent ppOGTT at 6–12 weeks postpartum, as recommended by the Italian guidelines. The non-compliant women were asked about the reason(s) for failing to screen. The non-parametric Mann-Whitney test and the 2-tailed Fisher exact test were used to compare continuous and categorical features, respectively, among women performing or non-performing ppOGTT. Results: Out of 451 women with GDM diagnosis, we recorded information from 327. Only 97 (29.7%) performed ppOGTT. The remaining 230 women (70.3%) provided the following explanation for non-compliance: (1) newborn care (30.4%); (2) misunderstood importance (28.3%); (3) oversight (13.0%); (4) unavailability of test reservation in the nearest centers (10.4%); (5) normal glycemic values at delivery (8.3%); (6) discouragement by primary care physician (5.6%). Conclusions: In our population, most women with recent GDM failed to perform ppOGTT. Our results indicated that the prominent barriers could potentially be overcome. |
format | Online Article Text |
id | pubmed-6313594 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-63135942019-06-17 Barriers to Postpartum Glucose Intolerance Screening in an Italian Population Quaresima, Paola Visconti, Federica Chiefari, Eusebio Puccio, Luigi Foti, Daniela P. Venturella, Roberta Vero, Raffaella Brunetti, Antonio Di Carlo, Costantino Int J Environ Res Public Health Article Background: Gestational diabetes mellitus (GDM) is a strong risk factor for type 2 diabetes mellitus (T2D) and the postpartum period is crucial for early treatment in at-risk women. However, despite recommendations, only a fraction of women undergo a postpartum screening for glucose intolerance (ppOGTT). The present study aims to verify the reason(s) for poor adherence in our population. Research design and methods: This retrospective study includes 451 women in which GDM was diagnosed between 2015–2016. During 2017, we verified by phone interview how many women underwent ppOGTT at 6–12 weeks postpartum, as recommended by the Italian guidelines. The non-compliant women were asked about the reason(s) for failing to screen. The non-parametric Mann-Whitney test and the 2-tailed Fisher exact test were used to compare continuous and categorical features, respectively, among women performing or non-performing ppOGTT. Results: Out of 451 women with GDM diagnosis, we recorded information from 327. Only 97 (29.7%) performed ppOGTT. The remaining 230 women (70.3%) provided the following explanation for non-compliance: (1) newborn care (30.4%); (2) misunderstood importance (28.3%); (3) oversight (13.0%); (4) unavailability of test reservation in the nearest centers (10.4%); (5) normal glycemic values at delivery (8.3%); (6) discouragement by primary care physician (5.6%). Conclusions: In our population, most women with recent GDM failed to perform ppOGTT. Our results indicated that the prominent barriers could potentially be overcome. MDPI 2018-12-14 2018-12 /pmc/articles/PMC6313594/ /pubmed/30558120 http://dx.doi.org/10.3390/ijerph15122853 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Quaresima, Paola Visconti, Federica Chiefari, Eusebio Puccio, Luigi Foti, Daniela P. Venturella, Roberta Vero, Raffaella Brunetti, Antonio Di Carlo, Costantino Barriers to Postpartum Glucose Intolerance Screening in an Italian Population |
title | Barriers to Postpartum Glucose Intolerance Screening in an Italian Population |
title_full | Barriers to Postpartum Glucose Intolerance Screening in an Italian Population |
title_fullStr | Barriers to Postpartum Glucose Intolerance Screening in an Italian Population |
title_full_unstemmed | Barriers to Postpartum Glucose Intolerance Screening in an Italian Population |
title_short | Barriers to Postpartum Glucose Intolerance Screening in an Italian Population |
title_sort | barriers to postpartum glucose intolerance screening in an italian population |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313594/ https://www.ncbi.nlm.nih.gov/pubmed/30558120 http://dx.doi.org/10.3390/ijerph15122853 |
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