Dépistage du diabète de type 2 après un diabète gestationnel : rôle du médecin traitant [Postpartum diabetes screening following gestational diabetes mellitus: practices in a university hospital and focus on the role of the general practitioner]
Détails
ID Serval
serval:BIB_AC2D0CC939C7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Dépistage du diabète de type 2 après un diabète gestationnel : rôle du médecin traitant [Postpartum diabetes screening following gestational diabetes mellitus: practices in a university hospital and focus on the role of the general practitioner]
Périodique
Journal de gynecologie, obstetrique et biologie de la reproduction
ISSN
1773-0430 (Electronic)
ISSN-L
0150-9918
Statut éditorial
Publié
Date de publication
09/2012
Peer-reviewed
Oui
Volume
41
Numéro
5
Pages
476-484
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Following pregnancies with gestational diabetes mellitus (GDM), to assess: the perception by women of the risk of subsequent type 2 diabetes, the rate of screening for diabetes in the postpartum, and identify the factors leading women to undergo screening, in particular with respect to the information given to the general practitioner (GP) by the obstetrical team.
A cohort study of all women with GDM who delivered in a single academic hospital between 1st June 2008 and 31st May 2009, based on data extracted from files and from phone interviews made 6 to 12 months after the delivery.
Out of 152 GDM cases, 147 medical files were consulted and 124 phone interviews were performed. Fifty-one percent of the interviewed women were aware of the risk of type 2 diabetes. Eighty patients (65%) underwent postpartum glucose testing, out of which 69 were prescribed by the maternity and 27 women (22%) did not get any prescription. The compliance rate was 78% (53/69) for the hospital prescriptions and 100% (18/18) for the GP's prescriptions, a significant difference in uptake (P<0.05). Although it appears that the information given to the GP is the only factor improving patient awareness about type 2 diabetes (P=0.01), as well as their compliance to postpartum glucose testing (P=0.02), only 41 reports (28%) were sent to the GP out of the 63 reports (43%) mentioning the GDM.
Postpartum testing for type 2 diabetes following a GDM was not optimal in this study. In view of the key role played by the GP in the postpartum period, it appears that cooperation between maternity and GPs needs to be reinforced in order to maximise both proper screening and diabetes primary prevention following GDM.
A cohort study of all women with GDM who delivered in a single academic hospital between 1st June 2008 and 31st May 2009, based on data extracted from files and from phone interviews made 6 to 12 months after the delivery.
Out of 152 GDM cases, 147 medical files were consulted and 124 phone interviews were performed. Fifty-one percent of the interviewed women were aware of the risk of type 2 diabetes. Eighty patients (65%) underwent postpartum glucose testing, out of which 69 were prescribed by the maternity and 27 women (22%) did not get any prescription. The compliance rate was 78% (53/69) for the hospital prescriptions and 100% (18/18) for the GP's prescriptions, a significant difference in uptake (P<0.05). Although it appears that the information given to the GP is the only factor improving patient awareness about type 2 diabetes (P=0.01), as well as their compliance to postpartum glucose testing (P=0.02), only 41 reports (28%) were sent to the GP out of the 63 reports (43%) mentioning the GDM.
Postpartum testing for type 2 diabetes following a GDM was not optimal in this study. In view of the key role played by the GP in the postpartum period, it appears that cooperation between maternity and GPs needs to be reinforced in order to maximise both proper screening and diabetes primary prevention following GDM.
Mots-clé
Blood Glucose/analysis, Cohort Studies, Diabetes Mellitus, Type 2/diagnosis, Diabetes, Gestational, Female, General Practice, Hospitals, University, Humans, Mass Screening, Patient Compliance, Postpartum Period, Pregnancy, Risk Factors
Pubmed
Web of science
Création de la notice
13/12/2021 13:23
Dernière modification de la notice
14/12/2021 6:33