Title : Improving adherence rates for postpartum screening of diabetes in women with gestational diabetes mellitus: An evidence based project
Abstract:
Background: Women with a history of gestational diabetes mellitus (GDM) are at increased risk of developing type 2 diabetes mellitus (T2DM) and approximately 30-60% will develop T2DM within 10 years following delivery. Approximately 2%–10% of pregnancies in the United States are complicated by GDM, yet postpartum diabetes screening rates are low.
Purpose of Project: This presentation focuses on the implementation of a multi-modal reminder system to increase the adherence of postpartum diabetes screening for women with a history of gestational diabetes mellitus (GDM) in the 4-12 weeks postpartum period.
Evidence Based Interventions: The multi-modal reminder system is comprised of an education session for staff that describes the current clinical guidelines and recommendations for postpartum diabetes screening, standardized patient education provided in the antepartum period regarding the benefits of screening for diabetes in the postpartum period, and a nurse practitioner led follow-up phone call and postal reminder.
Audience Take Away Notes:
- Participants will be able to define current screening guidelines as described by the American Diabetes Association and American College of Obstetricians and Gynecologist.
- Participants will be able to summarize the significance of postpartum screening for diabetes in women with a history of GDM.
- Participants will be able to least at least 3 potential reminder system interventions that can be used in clinical practice in order to address postpartum diabetes screening
- Given the suboptimal screening rates nationwide, the information presented will discuss current clinical guidelines and interventions needed to address and improve postpartum diabetes screening.
- The presentation will positively contribute to NP practice as it presents interventions that can be carried out by NPs in order to improve screening for postpartum diabetes, which inturn contributes to early identification of diabetes.
