Were to estimate the prevalence of postpartum screening for abnormal glucose tolerance and related related care by CNMs for women with recent histories of GDM and to identify strategies for improvement
Methods from October through December 2010, the Ohio department of the survey 62.2% response rate, 50.4% reported screening women with GDM-affected pregnancies for abnormal glucose tolerance at the postpartum visit.Of CNMs reported that they inform women with recent histories of GDM of their increased risk for type 2 diabetes mellitus, only 63.1% counseled these women to exercise regularly and 23.3% reported referring overweight/obese women to a diet support group or other nutrition counseling. CNMs reported that identification of community resources for lifestyle interventions and additional training in postpartum screening guidelines may help to improve postpartum care.
CNMs in Ohio reported suboptimal levels of postpartum diabetes testing and use of a recommended postpartum test. Providing CNMs with additional training and identifying community resources to support needed lifestyle behavior change may improve care.
CNMs in Ohiro reported suboptimal levels of postpartum diabetes testing and use of a recommended postpartum test. Providing CMNs with additional training and identifying community resources to needed lifestyle behavior change may improve care for women with recent GDM-affected pregnancies.