Strategies to improve postpartum glucose screening rates are needed.
AIMS
Women with gestational diabetes mellitus (GDM) require postpartum glucose screening, as they have a 70% lifetime risk of developing Type 2 diabetes mellitus. However, less than half complete postpartum screening.


METHODS
We conducted a retrospective chart review of patients who delivered at our institution from 2001 to 2019. Inclusion criteria were patients with gestational diabetes who were at least 18 years old and had delivered an infant at >24 weeks of gestation. Our primary outcome was completion of postpartum gestational diabetes screening.


RESULTS
The majority of patients (62%) did not complete screening. After adjusted risk ratio analyses, the only variables that remained significantly associated with an increased likelihood of completing screening were Asian race and having prenatal care at one particular community health center, which served a predominantly Asian population.


CONCLUSIONS
This community health center protocol for scheduling patients with GDM that complied with recommendations for postpartum care, indicating that evidence-based methods can improve maternal health.
['Farid|Huma|H|https://orcid.org/0000-0001-8041-4251', 'Blake|Rachel|R|', 'Hacker|Michele R|MR|', 'Erlinger|Adrienne L|AL|', 'Modest|Anna M|AM|']
D000293:Adolescent D001786:Blood Glucose D003924:Diabetes Mellitus, Type 2 D016640:Diabetes, Gestational D005260:Female D005947:Glucose D005951:Glucose Tolerance Test D006801:Humans D008403:Mass Screening D049590:Postpartum Period D011247:Pregnancy D012189:Retrospective Studies
gestational diabetes Type 2 diabetes mellitus maternal health delivery of health care postpartum period