Source / information
Source:
Jagannatham S. et al. Missed Opportunity: Low Compliance with ACOG Early Gestational Diabetes Screening Guidelines. Presented at: American College of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting; April 30 – May 2, 2021 (virtual meeting).
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Healio Primary Care was unable to confirm the authors’ relevant financial statements at the time of publication.
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Only 12% of women who met the American College of Obstetricians and Gynecologists’ criteria for early gestational diabetes screening actually received it at a New York hospital, researchers reported.
ACOG recommends that all pregnant women be screened for gestational diabetes (GDM) between the 24th and 28th weeks of gestation. Study author ShobHa Jagannatham, MD, A gynecologist at Mount Sinai West and Morningside and colleagues noted that ACOG updated its guidelines in 2017 to align them with those of the American Diabetes Association, recommending early screening of women at high risk for GDM – especially those with Being overweight and having an additional risk factor for diabetes.
Only 12 out of 97 women who met the ACOG criteria for early GDM screening went through this process, data shows. Photo source: Adobe Stock
“An earlier diagnosis will help patients adapt to behavioral changes and possibly start hypoglycemics earlier,” and could benefit the mother and the unborn child, she said in a taped poster presentation at the ACOG annual meeting.
The researchers checked the charts of 314 women who gave birth on Mount Sinai West in January 2020. They reported that a third (n = 97) of women met ACOG’s criteria for early GDM screening, but only 12 actually received it. Almost a fifth of women who met criteria for early GDM screening but were not screened were diagnosed with GDM later in their pregnancy.
“This begs the question of whether obstetric providers in our facility recognize all patients who meet the criteria for early screening,” Jagannatham said.
She said the researchers plan to develop an electronic health alert that will help doctors identify pregnant women who meet the criteria for early GDM screening, and then determine the effectiveness of that tool over time.
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