{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T20:04:43Z","timestamp":1773518683832,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T00:00:00Z","timestamp":1599004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001776","name":"University of Western Sydney","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001776","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Adverse pregnancy outcomes are more common in women with hyperglycaemia. Many women have suboptimal uptake of HbA1c testing postdelivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To compare pregnancy outcomes among multi\u2010ethnic women with different degrees of hyperglycaemia during pregnancy, and their association with postnatal HbA1c uptake after the introduction of email reminders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A retrospective and prospective single\u2010centre study was conducted in South Auckland in 2639 women with early gestational diabetes mellitus (GDM) (diagnosed\u00a0&lt;\u00a020\u00a0weeks), late GDM (diagnosed\u00a0\u2265\u00a020\u00a0weeks), overt diabetes in pregnancy, or known type 2 diabetes (T2DM) during pregnancy. Automated email reminders were sent to general practitioners to increase postnatal HbA1c screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>HbA1c during pregnancy increased across the late GDM (<jats:italic>n<\/jats:italic>\u00a0=\u00a01425), early GDM (<jats:italic>n<\/jats:italic>\u00a0=\u00a0148), overt diabetes (<jats:italic>n<\/jats:italic>\u00a0=\u00a0573) and T2DM (<jats:italic>n<\/jats:italic>\u00a0=\u00a0493) groups (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Stillbirth was least common in the late GDM group (0, 0.7, 0.5, and 1.9%, respectively, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), as were caesarean delivery (32.7, 45.1, 39.4, and 53.5%, respectively, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), large for gestational age (LGA) (14.7, 18.2, 22.3, and 30.5%, respectively, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), small for gestational age (8.8, 16.7, 11.0, and 11.1%, respectively, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02), and preeclampsia\/eclampsia (7.7, 9.2, 13.0, and 14.8%, respectively, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). LGA and preeclampsia\/eclampsia were more common among Pacific and M\u0101ori women than European women (LGA, 30.1, 22.7, 10.3%, respectively, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001; preeclampsia\/eclampsia, 13.5, 14.0, and 8.1%, respectively, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Postpartum HbA1c screening increased among women with GDM\/overt diabetes after the introduction of the reminder emails (39.6% vs 34.0%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women with late GDM are least likely to experience adverse outcomes. Email reminders to improve postpartum HbA1c screening warrant further investigation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13231","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T01:49:19Z","timestamp":1599097759000},"page":"69-77","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Pregnancy outcomes among multi\u2010ethnic women with different degrees of hyperglycaemia during pregnancy in an urban New Zealand population and their association with postnatal HbA1c uptake"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2020-4791","authenticated-orcid":false,"given":"Jincy","family":"Immanuel","sequence":"first","affiliation":[{"name":"Western Sydney University Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl","family":"Eagleton","sequence":"additional","affiliation":[{"name":"Counties 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