Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10289
Title: Improving postpartum screening after diabetes in pregnancy: Results of a pilot study in remote Australia.
Authors: Kirkham, Renae
MacKay, Diana
Barzi, Federica
Whitbread, Cherie
Kirkwood, Marie
Graham, Sian
Van Dokkum, Paula
McIntyre, H David
Shaw, Jonathan E
Brown, Alex
O'Dea, Kerin
Connors, Christine
Oats, Jeremy
Zimmet, Paul
Boyle, Jacqueline
Maple-Brown, Louise
Affiliation: Menzies School of Health Research, Darwin, Australia..
Royal Darwin Hospital, Darwin, Australia..
Menzies School of Health Research, Darwin, Australia..
Menzies School of Health Research, Darwin, Australia.. Royal Darwin Hospital, Darwin, Australia..
Menzies School of Health Research, Darwin, Australia..
Menzies School of Health Research, Darwin, Australia..
Baker IDI Heart and Diabetes Institute, Alice Springs, Australia.. Alice Springs Hospital, Alice Springs, Australia..
Mater Medical Research Institute, Brisbane, Australia.. Obstetric Medicine, University of Queensland, Brisbane, Australia..
Clinical and Population Health Research, Baker Heart and Diabetes Institute, Melbourne, Australia..
South Australian Health and Medical Research Institute, Adelaide, Australia..
Population Health Research, University of South Australia, Adelaide, Australia..
Darwin Region & Strategic Primary Health Care Branch, Top End Health Service, Northern Territory Department of Health, Darwin, Australia..
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia..
Department of Diabetes, Central Clinical School, Monash University, Melbourne, Australia..
Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia..
Menzies School of Health Research, Darwin, Australia.. Royal Darwin Hospital, Darwin, Australia..
Issue Date: 2-Oct-2018
Citation: The Australian & New Zealand journal of obstetrics & gynaecology 2018-10-02
Abstract: The postpartum period is a critical time to improve health outcomes for Aboriginal women, particularly for those who have chronic conditions. To assess enhanced support methods (for women following diabetes in pregnancy (DIP)) to improve completion rates of recommended postpartum health checks. Fifty-three Aboriginal women in the Northern Territory (NT) were contacted in the postpartum period to encourage medical check-ups. Messages were delivered through phone (call or text messages) or other methods (Facebook or email). The primary outcome was postpartum blood glucose testing (oral glucose tolerance testing (OGTT), random or fasting glucose and HbA1c). Establishing contact with women was difficult. Of 137 messages sent to 52 women, 22 responded (42%). Phone was the most common contact method with successful contact made from 16 of 119 (13%) attempts. Rates of postpartum OGTT completion were higher in the group successfully contacted (32% vs 7%). However, for any postpartum glucose testing (including OGTT and HbA1c) rates were 25 of 42 (60%) and neither success in making contact nor the contact method was associated with higher rates. The small sample size limits our conclusions; however, results highlight that engaging remote women postpartum is difficult. While rates of postpartum OGTT completion differed according to successful contacts, rates of any postpartum blood glucose testing did not. Further research is needed to explore feasible intervention methods to improve postpartum screening after a pregnancy complicated by diabetes.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10289
DOI: 10.1111/ajo.12894
Type: Journal Article
Subjects: aboriginal
diabetes
postpartum period
postpartum screening
text messaging
Appears in Collections:NT Health digital library

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