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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...

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Autores principales: Quaresima, Paola, Visconti, Federica, Chiefari, Eusebio, Puccio, Luigi, Foti, Daniela P., Venturella, Roberta, Vero, Raffaella, Brunetti, Antonio, Di Carlo, Costantino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
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.
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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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