Short communication| Volume 95, ISSUE 4, P431-433, April 2017

Contraception and postpartum follow-up in patients with gestational diabetes



      We sought to review the effect of immediate provision of postpartum contraception on postpartum follow-up and screening for type 2 diabetes in women with gestational diabetes mellitus (GDM).

      Study design

      We performed multivariate logistic regression to identify the association between immediate provision of postpartum contraception and attendance at the 6-week postpartum visit and performance of a 6- to 12-week oral glucose tolerance test, controlling for age, type of insurance, parity and race.


      Women who received contraception prior to hospital discharge were less likely to attend their postpartum visit [adjusted odds ratio (aOR) 0.59, 95% confidence interval (CI) 0.39–0.88], but just as likely to participate in postpartum diabetes screening (adjusted odds ratio (aOR) 1.27, 95% confidence interval (CI) 0.78–2.06). Attendance at the postpartum visit was associated with private insurance (OR 1.93, 95% CI 1.31–2.99).


      Receiving contraception while admitted postpartum did not affect follow-up for diabetes screening for women with GDM.


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      1. ACOG Practice Bulletin Number 121, July 2011. Long-acting reversible contraception: implants and intrauterine devices; 2011.

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