Abstract
Objectives
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.
Results
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).
Conclusion
Receiving contraception while admitted postpartum did not affect follow-up for diabetes
screening for women with GDM.
Keywords
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References
ACOG Practice Bulletin Number 121, July 2011. Long-acting reversible contraception: implants and intrauterine devices; 2011.
- Gestational diabetes and the incidence of type 2 diabetes.Diabetes Care. 2007; 30: S141-S146
- After pregnancy complicated by diabetes: postpartum care and education.Obstet Gynecol Clin N Am. 2007; 34: 335-349
- How does gestational diabetes affect postpartum contraception in nondiabetic primiparous women?.Contraception. 2009; 79: 290-296
- Pregnancy outcomes in youth with type 2 diabetes: the TODAY study experience.Diabetes Care. 2016; 39: 122-129
- Original research: postpartum testing rates among women with a history of gestational diabetes — systematic review.Prim Care Diabetes. 2013; 7: 177-186
- Postpartum diabetes screening in women with a history of gestational diabetes.Obstet Gynecol. 2005; 106: 1297-1303
Article info
Publication history
Published online: November 14, 2016
Accepted:
November 7,
2016
Received in revised form:
October 31,
2016
Received:
July 26,
2016
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
