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Improving Postpartum Glucose Monitoring in Women with Gestational Diabetes

<p> <b>OBJECTIVE:</b> To improve 6-week postpartum visit attendance, glucose test ordering, and test completion among postpartum GDM patients. </p><p> <b>METHODS:</b> Pre- and post-intervention GDM women at Mount Sinai were studied via chart review. Interventions included advanced order sets for glucose monitoring at the 35-week pregnancy visit, educational modules, and nutritionist phone calls reminding patients to attend postpartum visits fasting. </p><p> <b>RESULTS:</b> 107 pre-intervention and 42 post-intervention women were studied. Percentages of orders placed for postpartum testing was higher post-intervention vs. pre-intervention (57% vs. 42%, p=0.03). There were higher test completion rates post-intervention vs. pre-intervention (36% vs. 17%, p=0.01). Postpartum visit attendance rates didn&rsquo;t vary between groups (73% vs. 69% p=0.60). 6% pre-intervention fasted for postpartum visits vs. 60% post-intervention. </p><p> <b>CONCLUSION:</b> There was no increase in women attending their 6-week postpartum visits, yet rates of completed orders for postpartum testing, women attending visits fasting, and postpartum test completions were higher post-intervention. More research may identify the barriers to attendance at 6-week post-partum visits.</p>

Identiferoai:union.ndltd.org:PROQUEST/oai:pqdtoai.proquest.com:1595257
Date11 September 2015
CreatorsDembowitz, Marti
PublisherIcahn School of Medicine at Mount Sinai
Source SetsProQuest.com
LanguageEnglish
Detected LanguageEnglish
Typethesis

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