Improving postpartum screening after diabetes in pregnancy: Results of a pilot study in remote Australia

Renae Kirkham, Diana MacKay, Federica Barzi, Cherie Whitbread, Marie Kirkwood, Sian Graham, Paula Van Dokkum, H. David McIntyre, Jonathan E. Shaw, Alex Brown, Kerin O'Dea, Christine Connors, Jeremy Oats, Paul Zimmet, Jacqueline Boyle, Louise Maple-Brown

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: The postpartum period is a critical time to improve health outcomes for Aboriginal women, particularly for those who have chronic conditions. Aims: To assess enhanced support methods (for women following diabetes in pregnancy (DIP)) to improve completion rates of recommended postpartum health checks. Materials and Methods: 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). Results: 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. Conclusions: 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.

LanguageEnglish
Pages430-435
Number of pages6
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Volume59
Issue number3
DOIs
Publication statusPublished - 1 Jun 2019

Keywords

  • aboriginal
  • diabetes
  • postpartum period
  • postpartum screening
  • text messaging

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

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. / Improving postpartum screening after diabetes in pregnancy : Results of a pilot study in remote Australia. In: Australian and New Zealand Journal of Obstetrics and Gynaecology. 2019 ; Vol. 59, No. 3. pp. 430-435.
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abstract = "Background: The postpartum period is a critical time to improve health outcomes for Aboriginal women, particularly for those who have chronic conditions. Aims: To assess enhanced support methods (for women following diabetes in pregnancy (DIP)) to improve completion rates of recommended postpartum health checks. Materials and Methods: 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). Results: 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. Conclusions: 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.",
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Kirkham, R, MacKay, D, Barzi, F, Whitbread, C, Kirkwood, M, Graham, S, Van Dokkum, P, McIntyre, HD, Shaw, JE, Brown, A, O'Dea, K, Connors, C, Oats, J, Zimmet, P, Boyle, J & Maple-Brown, L 2019, 'Improving postpartum screening after diabetes in pregnancy: Results of a pilot study in remote Australia', Australian and New Zealand Journal of Obstetrics and Gynaecology, vol. 59, no. 3, pp. 430-435. https://doi.org/10.1111/ajo.12894

Improving postpartum screening after diabetes in pregnancy : Results of a pilot study in remote Australia. / 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.

In: Australian and New Zealand Journal of Obstetrics and Gynaecology, Vol. 59, No. 3, 01.06.2019, p. 430-435.

Research output: Contribution to journalArticle

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