{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T23:04:10Z","timestamp":1780009450211,"version":"3.53.1"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"08","funder":[{"name":"Trinity Health of New England Haas Grant, Institutional Internal Grant"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Immediate postpartum diabetes (IPD) testing on day 1 or 2 shows similar diagnostic value to testing at 4 to 12 weeks' postpartum and achieves higher completion rates. Our institution implemented IPD testing on December 1, 2023, before the American College of Obstetricians and Gynecologists' endorsement, to compare pre and postimplementation testing rates and to assess associated maternal and neonatal outcomes.<\/jats:p>\n                  <jats:p>We conducted a retrospective cohort study of patients with gestational diabetes mellitus (GDM) who delivered at our community\u2013academic medical center before (September 1, 2022\u2013November 15, 2023) and after (December 1, 2023\u2013October 31, 2024) IPD implementation. The preimplementation group underwent outpatient testing 4 to 12 weeks' postpartum. The postimplementation group was tested in-hospital 1 or 2 days' postpartum. Both groups received a 2-h our glucose challenge test. Electronic medical records were queried for demographics, medical and obstetric history, GDM information, and postpartum diabetes testing results. Completion rates, maternal, and neonatal factors were compared across and within cohorts using chi-square tests and t-tests.<\/jats:p>\n                  <jats:p>Across 155 patients (63 preimplementation, 92 postimplementation), baseline characteristics were similar, excluding age. Testing completion increased nearly 5-fold postimplementation (14.3% [9\/63] vs. 68.5% [63\/92], p\u2009&lt;\u20090.01). In the postimplementation group, 49% of tested patients had abnormal results (43% impaired glucose metabolism, 6% overt diabetes). Non-English speakers and those with a postpartum length of stay\u2009&gt;\u20091 day were more likely to be tested (22.2 vs. 3.45%, p\u2009=\u20090.02; 98.4 vs. 48.3%, p\u2009&lt;\u20090.01). Neonates in the tested group had a lower mean birth weight (3,137.1\u2009\u00b1\u2009665.1 vs. 3,374.4\u2009\u00b1\u2009484.7\u2009g; p\u2009=\u20090.05), longer nursery stay (2.55\u2009\u00b1\u20092.2 vs. 1.83\u2009\u00b1\u20090.69 days; p\u2009=\u20090.03), and more neonatal intensive care unit admissions (20.63 vs. 0%; p\u2009=\u20090.01).<\/jats:p>\n                  <jats:p>IPD testing dramatically improved testing and identified a high prevalence of persistent dysglycemia immediately postpartum. Hospital systems should consider implementing this practice change to improve testing rates and early intervention in postpartum care of patients with GDM.<\/jats:p>","DOI":"10.1055\/a-2854-6538","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T22:58:21Z","timestamp":1778021901000},"page":"1091-1097","source":"Crossref","is-referenced-by-count":0,"title":["It's Best to Test in Hospital: Improved Testing Rates with Immediate Postpartum Diabetes Testing in Patients with Gestational Diabetes in a Community\u2013Academic Medical Center"],"prefix":"10.1055","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8365-0620","authenticated-orcid":false,"given":"Veronica Maria","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Trinity Health of New England, Hartford, Connecticut, United States"},{"name":"Department of Obstetrics and Gynecology, Frank H Netter School of Medicine, Quinnipiac University, North Haven, Connecticut, United States"},{"name":"Department of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikhalya","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Frank H Netter School of Medicine, Quinnipiac University, North Haven, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Barreto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Bridgeport Hospital, Bridgeport, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy","family":"Wakefield","sequence":"additional","affiliation":[{"name":"Department of Research Administration, Research Development Office, Trinity Health of New England, Hartford, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Crowell","sequence":"additional","affiliation":[{"name":"Department of Research Administration, Research Development Office, Trinity Health of New England, Hartford, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"16","DOI":"10.15585\/mmwr.mm7201a4","article-title":"QuickStats: percentage of mothers with gestational diabetes, by maternal age\u2014National Vital Statistics System, United States, 2016 and 2021","volume":"72","author":"Centers for Disease Control and Prevention","year":"2023","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1210\/endrev\/bnac003","article-title":"A clinical update on gestational diabetes mellitus","volume":"43","author":"A Sweeting","year":"2022","journal-title":"Endocr Rev"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"399","DOI":"10.15537\/smj.2015.4.10307","article-title":"Gestational diabetes mellitus","volume":"36","author":"E M Alfadhli","year":"2015","journal-title":"Saudi Med J"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.ecl.2019.05.001","article-title":"Gestational diabetes mellitus","volume":"48","author":"E D Szmuilowicz","year":"2019","journal-title":"Endocrinol Metab Clin North Am"},{"issue":"02","key":"ref5","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":"American College of Obstetricians and Gynecologists","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1055\/s-0037-1607284","article-title":"Barriers to postpartum follow-up and glucose tolerance testing in women with gestational diabetes mellitus","volume":"35","author":"A N Battarbee","year":"2018","journal-title":"Am J Perinatol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"151341","DOI":"10.1016\/j.apnr.2020.151341","article-title":"Postpartum glucose screening among women with gestational diabetes","volume":"56","author":"J C Paul","year":"2020","journal-title":"Appl Nurs Res"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1186\/s12913-021-06569-z","article-title":"How do reminder systems in follow-up screening for women with previous gestational diabetes work? A realist review","volume":"21","author":"J H Nielsen","year":"2021","journal-title":"BMC Health Serv Res"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"e2254765","DOI":"10.1001\/jamanetworkopen.2022.54765","article-title":"Patterns of postpartum primary care follow-up and diabetes-related care after diagnosis of gestational diabetes","volume":"6","author":"R D'Amico","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/og9.0000000000000033","article-title":"Administration of the postpartum glucose tolerance test during the delivery hospitalization compared with 4\u201312 weeks postpartum: a systematic review and meta-analysis","volume":"1","author":"H Ciomperlik","year":"2024","journal-title":"O G Open"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1055\/s-0037-1606620","article-title":"Immediate postpartum glucose tolerance testing in women with gestational diabetes: a pilot study","volume":"34","author":"C Dinglas","year":"2017","journal-title":"Am J Perinatol"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"73.e1","DOI":"10.1016\/j.ajog.2019.07.035","article-title":"Should women with gestational diabetes be screened at delivery hospitalization for type 2 diabetes?","volume":"222","author":"T P Waters","year":"2020","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref13","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":"08","key":"ref14","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1055\/a-2257-3341","article-title":"Implementation of in-hospital postpartum glucose tolerance testing for people with gestational diabetes","volume":"41","author":"N K Ayala","year":"2024","journal-title":"Am J Perinatol"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"e20","DOI":"10.1097\/AOG.0000000000005612","article-title":"ACOG clinical practice update: screening for gestational and pregestational diabetes in pregnancy and postpartum","volume":"144","author":"American College of Obstetricians and Gynecologists","year":"2024","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-2854-6538.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T22:40:07Z","timestamp":1780008007000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2854-6538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,5]]},"references-count":15,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2026,5,28]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2854-6538","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,5]]}}}