التفاصيل البيبلوغرافية
| العنوان: |
Diabetes in Pregnancy. The Central Australian Experience. |
| المؤلفون: |
Wicks, Mary, Van Dokkum, Paula |
| المصدر: |
Australian Diabetes Educator; Mar2018, Vol. 21 Issue 1, p1-13, 13p |
| مصطلحات موضوعية: |
GESTATIONAL diabetes, ELECTRONIC health records, TYPE 2 diabetes, DIABETES, PREGNANCY complications |
| مستخلص: |
Aims The primary aim of our study was to quantify the impact on workload that ¼owed from adopting the Australasian Diabetes in Pregnancy Society (ADIPS) endorsed criteria for diagnosis of Gestational Diabetes Mellitus (GDM), compared to previous diagnostic criteria. Secondary aims included analysing the cohort of women who had Diabetes in Pregnancy (DIP) in terms of diabetes diagnosis and diagnostic testing during pregnancy, adherence to testing guidelines for GDM in a high-risk population and the postpartum screening for diabetes in those with prior GDM. Methods A retrospective audit of all births between July 2014 to June 2015 at Alice Springs Hospital (ASH) was undertaken. Data was obtained from the hospital birth register, the hospital electronic pathology service and results from the sole private pathology provider in Central Australia. Individual patient notes were accessed, if required, either in paper or electronic form via a Shared Electronic Health Record (SEHR). Comparisons were made between diagnosis with the ADIPS guidelines and the previous guidelines in each woman. Results Of the 794 births in the nominated 12 months, 594 pregnancies had analysable data. More than one in ¹ve (21. 5%) of this cohort had some form of Diabetes in Pregnancy (DIP). This included 11. 9% of women with GDM, 2. 8% of women with DMIP (diabetes mellitus ¹rst detected in pregnancy) and 6. 7% with type 2 diabetes (T2D). The e·ect of the new GDM criteria was minimal in terms of workload increase. A concerning proportion of women, 22. 5%, had no record of testing for DIP. Conclusion The change in diagnostic criteria for GDM had minimal impact in Central Australia. Of greater concern is the high and increasing number of women of child-bearing age with T2D. The majority of these women live in disadvantaged, very remote communities across the region, representing an extreme challenge to service provision. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
