{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:40:18Z","timestamp":1793263218340,"version":"4.5.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>\n            Objective\u2003We aimed to evaluate uptake of the glucose tolerance test performed during delivery hospitalization as part of routine clinical care.<\/jats:p><jats:p>\n            Study Design\u2003This is a retrospective cohort study of people with GDM at a tertiary center. We collected 9 months of postimplementation data after the in-hospital (\u201cearly\u201d) glucose tolerance test was adopted as a routine screening option. Adherence was compared between those who elected early glucose tolerance testing versus those who deferred testing to the standard postpartum period. Bivariable statistics including demographics, care team, and postpartum testing\/visit attendance were compared between those who received early testing and those who did not using chi-square, Fisher's exact, and t-tests.<\/jats:p><jats:p>\n            Results\u2003A total of 681 patients with GDM delivered during the study period. Of those who had an early glucose tolerance test ordered (n\u2009=\u2009408), 340 (83.3%) completed the test. Among those who did not complete an early glucose tolerance test (ordered and not completed or never ordered), only 104\/341 (30.5%) completed any postpartum glucose testing in the first 12 months of postpartum. There were significant differences in characteristics in terms of race\/ethnicity, insurance, type of gestational diabetes (A1GDM vs. A2GDM), diabetes medications, obstetric care provider, and delivery mode. Among those who completed early testing, 43.7% of participants had impaired glucose metabolism and 6.5% had values concerning for overt diabetes mellitus. Among those who deferred testing to the standard 6- to 12-week period, 24.0% had impaired glucose metabolism and none had overt diabetes. Those who completed an early glucose tolerance test had a lower rate of postpartum visit attendance compared with those who deferred (75.6 vs. 91.5%, p\u2009&lt;\u20090.01).<\/jats:p><jats:p>\n            Conclusion\u2003In this cohort, when the early glucose tolerance test is offered in clinical practice, adherence rates are higher than when the test is deferred until the postpartum visit.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-2257-3341","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:04:51Z","timestamp":1706659491000},"page":"969-974","source":"Crossref","is-referenced-by-count":15,"title":["Implementation of In-Hospital Postpartum Glucose Tolerance Testing for People with Gestational Diabetes"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8737-407X","authenticated-orcid":false,"given":"Nina K.","family":"Ayala","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Alpert Medical School of Brown University, Providence, Rhode Island"},{"name":"Department of Obstetrics and Gynecology, David Geffen School of Medicine UCLA, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audra C.","family":"Fain","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, David Geffen School of Medicine UCLA, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren E.","family":"Schlichting","sequence":"additional","affiliation":[{"name":"Hassenfeld Childe Health and Innovation Institute of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen S.","family":"Hamel","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Alpert Medical School of Brown University, Providence, Rhode Island"},{"name":"Department of Obstetrics and Gynecology, David Geffen School of Medicine UCLA, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika F.","family":"Werner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tufts University School of Medicine, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1097\/AOG.0000000000002501","article-title":"ACOG practice bulletin no. 190: gestational diabetes mellitus","volume":"131","author":"ACOG Practice Bulletin No","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.1016\/j.ajog.2004.03.074","article-title":"The association between preeclampsia and the severity of gestational diabetes: the impact of glycemic control","volume":"191","author":"Y Yogev","year":"2004","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.ajog.2004.06.057","article-title":"The influence of obesity and diabetes on the risk of cesarean delivery","volume":"191","author":"H M Ehrenberg","year":"2004","journal-title":"Am J Obstet Gynecol"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.2337\/diacare.25.10.1862","article-title":"Gestational diabetes and the incidence of type 2 diabetes: a systematic review","volume":"25","author":"C Kim","year":"2002","journal-title":"Diabetes Care"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.whi.2022.02.002","article-title":"Postpartum visit attendance in the United States: a systematic review","volume":"32","author":"L B Attanasio","year":"2022","journal-title":"Womens Health Issues"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"530769","DOI":"10.1155\/2014\/530769","article-title":"Use of postpartum care: predictors and barriers","volume":"2014","author":"J N DiBari","year":"2014","journal-title":"J Pregnancy"},{"issue":"01","key":"ref8","first-page":"254","article-title":"Provider perspectives on barriers and facilitators to postpartum care for low-income individuals","volume":"2","author":"R S Ruderman","year":"2021","journal-title":"Womens Health Rep (New Rochelle)"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"439.e1","DOI":"10.1016\/j.ajog.2020.05.036","article-title":"Two-day postpartum compared with 4- to 12-week postpartum glucose tolerance testing for women with gestational diabetes","volume":"223","author":"E F Werner","year":"2020","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"e0264648","DOI":"10.1371\/journal.pone.0264648","article-title":"Machine learning prediction of non-attendance to postpartum glucose screening and subsequent risk of type 2 diabetes following gestational diabetes","volume":"17","author":"N Periyathambi","year":"2022","journal-title":"PLoS One"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"569","DOI":"10.2337\/dc09-2095","article-title":"Prevalence and timing of postpartum glucose testing and sustained glucose dysregulation after gestational diabetes mellitus","volume":"33","author":"J M Lawrence","year":"2010","journal-title":"Diabetes Care"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"e282","DOI":"10.5001\/omj.2021.125","article-title":"Factors associated with postpartum glucose testing following gestational diabetes mellitus","volume":"36","author":"F A Abu Bakar","year":"2021","journal-title":"Oman Med J"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1097\/01.AOG.0000245446.85868.73","article-title":"Rates of postpartum glucose testing after gestational diabetes mellitus","volume":"108","author":"M A Russell","year":"2006","journal-title":"Obstet Gynecol"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2257-3341.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:42:52Z","timestamp":1730814172000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2257-3341"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,30]]},"references-count":12,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2024,5,20]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2257-3341","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1,30]]},"published":{"date-parts":[[2024,1,30]]}}}