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Factors associated with compliance to the recommendations for postpartum diabetes mellitus screening among women with gestational diabetes mellitus

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

Since women with GDM have an increased risk to develop type 2 DM, a 75 g OGTT is recommended 6–12 weeks postpartum for all women with GDM. However, screening rates remain low. The aim of this study was to find factors affect the rate of postpartum DM screening.

Materials and methods

A retrospective cohort study between 2016 and 2017 at the Soroka Medical Center, comparing women with GDM who underwent postpartum DM screening test to those who did not.

Results

257 women who had a diagnosis of GDM and met the inclusion criteria were included. 53 (20.6%) had a postpartum DM screening test and 204 (79.4%) did not complete the postpartum DM screening. Women who underwent a DM screening postpartum were more likely to be older, with significantly higher rates of vacuum-assisted delivery, more likely to be diagnosed with GDMA2 as compared to GDMA1 during pregnancy and, with high probability of receiving recommendations for screening at a postpartum visit.

Conclusions

The rates of postpartum DM screening for women with GDM are low and need to increase. Age greater than 25, vacuum delivery, GDMA2, and having received a recommendation for postpartum screening increased the likelihood of undergoing a postpartum DM screening.

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Funding

The study received the approval of the Soroka medical center Helsinki review board (#0333-17-SOR) on 12/11/2017.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel

    Lior Yahav, Shimrit Yaniv Salem, Hadar Sandler-Rahat, Yael Baumfeld, Kamal Kaul, Adi Y. Weintraub & Tamar Eshkoli

Authors
  1. Lior Yahav
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  2. Shimrit Yaniv Salem
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  3. Hadar Sandler-Rahat
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  4. Yael Baumfeld
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  5. Kamal Kaul
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  6. Adi Y. Weintraub
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  7. Tamar Eshkoli
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Contributions

LY—project development, data collection and management, data analysis, and manuscript writing. SYS—data collection and manuscript editing. HS-R—data collection and manuscript editing. YB—data collection and manuscript editing. KK—data collection and manuscript editing. AYW—project development, data management, and manuscript editing. TE—data collection and manuscript editing. All agree to be accountable for all aspects of the work.

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Correspondence to Lior Yahav.

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All authors declare no conflicts of interest, and received no personal funding.

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Yahav, L., Salem, S.Y., Sandler-Rahat, H. et al. Factors associated with compliance to the recommendations for postpartum diabetes mellitus screening among women with gestational diabetes mellitus. Arch Gynecol Obstet 307, 709–714 (2023). https://doi.org/10.1007/s00404-022-06573-6

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  • DOI: https://doi.org/10.1007/s00404-022-06573-6

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