{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T21:01:37Z","timestamp":1776891697730,"version":"3.51.2"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T00:00:00Z","timestamp":1720310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Issue Addressed<\/jats:title><jats:p>The oral glucose tolerance test is the \u2018gold standard\u2019 for detecting gestational diabetes in Australian and International guidelines. Test completion in regional, rural and remote regions may be as low as 50%. We explored challenges and enablers for regional, rural and remote antenatal clinicians providing gestational diabetes screening to better understand low oral glucose tolerance test completion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a qualitative descriptive study using semi\u2010structured interviews. Participants eligible for the study were doctors or midwives providing antenatal care in regional, rural and remote Western Australia, between August 2019 and November 2020. Interviews were recorded digitally and transcribed into a Word document. We conducted a thematic analysis after initial categorisation and deduction of themes through workshops involving the research team.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found a diversity of viewpoints on oral glucose tolerance test reliability for detecting gestational diabetes. Themes that emerged were; good collaboration between antenatal clinicians is required for successful screening; screening occurs throughout pregnancy using various tests; clinicians make significant efforts to address barriers; clinicians prioritise therapeutic relationships.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Effective universal screening for gestational diabetes in regional, rural and remote Western Australia is difficult and more complex in practice than guidelines imply. Detecting gestational diabetes requires creative solutions, early identification of at risk women and trust and collaboration between clinicians and women.<\/jats:p><\/jats:sec><jats:sec><jats:title>So What?<\/jats:title><jats:p>Detection of gestational diabetes in regional, rural and remote Western Australia remains poorly completed. New strategies are required to adequately identify women at risk of adverse birth outcomes relating to hyperglycaemia in pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.899","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T06:15:07Z","timestamp":1720419307000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Oral glucose tolerance test\u2014The imperfect gold standard for gestational diabetes screening: A qualitative study involving clinicians in regional, rural and remote areas of Western Australia"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1046-5333","authenticated-orcid":false,"given":"Andrew B.","family":"Kirke","sequence":"first","affiliation":[{"name":"The Rural Clinical School of Western Australia The University of Western Australia  Bunbury Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7775-3615","authenticated-orcid":false,"given":"Erica","family":"Spry","sequence":"additional","affiliation":[{"name":"The Rural Clinical School of Western Australia The University of Western Australia  Broome Australia"},{"name":"Kimberley Aboriginal Medical Services  Broome Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7069-5555","authenticated-orcid":false,"given":"David","family":"Atkinson","sequence":"additional","affiliation":[{"name":"The Rural Clinical School of Western Australia The University of Western Australia  Broome Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2734-2951","authenticated-orcid":false,"given":"Craig","family":"Sinclair","sequence":"additional","affiliation":[{"name":"School of Psychology The University of New South Wales  Kensington Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1014-4860","authenticated-orcid":false,"given":"Julia V.","family":"Marley","sequence":"additional","affiliation":[{"name":"The Rural Clinical School of Western Australia The University of Western Australia  Broome Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,7]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"3","article-title":"Screening and subsequent management for gestational diabetes for improving maternal and infant health","volume":"7","author":"Tieu J","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_3_1","volume-title":"Diabetes: Australian facts","author":"Australian Institute of Health Welfare","year":"2023"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042973"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902430"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12645"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707943"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1848"},{"key":"e_1_2_12_9_1","first-page":"528","article-title":"Gestational diabetes mellitus","volume":"42","author":"Nankervis A","year":"2013","journal-title":"Navigating Confusion Aust Fam Physician"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04559-5"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2007.00783.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701532444"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0004-8666.2003.00118.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16224488"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12465"},{"key":"e_1_2_12_16_1","volume-title":"Diabetes: Australian facts: Pathology","author":"Australian Institute of Health Welfare","year":"2023"},{"key":"e_1_2_12_17_1","unstructured":"Australian Bureau of Statistics.Births Australia: Statistics about births and fertility rates for Australia states and territories and sub\u2010state regions. 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