PMID- 25438939
OWN - NLM
STAT- MEDLINE
DCOM- 20150707
LR  - 20220330
IS  - 1872-8227 (Electronic)
IS  - 0168-8227 (Linking)
VI  - 106
IP  - 3
DP  - 2014 Dec
TI  - Clinician views and knowledge regarding healthcare provision in the postpartum 
      period for women with recent gestational diabetes: a systematic review of 
      qualitative/survey studies.
PG  - 401-11
LID - S0168-8227(14)00396-9 [pii]
LID - 10.1016/j.diabres.2014.09.001 [doi]
AB  - AIM: To examine clinician views and knowledge regarding postpartum healthcare 
      provision for women who have experienced gestational diabetes (GDM). METHODS: 
      Systematic review that searched PubMed, Web of Science, EMBASE and CINAHL. 
      Qualitative studies and surveys, with clinicians as participants, which reported 
      pre-specified outcomes, including barriers and facilitators to postpartum care 
      for GDM, were included. Two authors independently assessed quality and undertook 
      thematic synthesis. RESULTS: Eleven surveys and two interview studies were 
      included (4435 clinicians). Key themes included adequacy of knowledge of risk of 
      type 2 diabetes mellitus (T2DM), gaps between knowledge and practice relating to 
      postpartum screening, and differing perceptions of the value of postpartum 
      screening. Clinicians perceived that women faced obstacles to accessing 
      healthcare, and a need for improved GDM education. Studies reported shortfalls in 
      systems to ensure postpartum screening occurs, and a need to improve 
      communication and collaboration relating to care of women who have experienced 
      GDM. The surveys were often limited in their depth and ability to identify 
      remedial strategies. CONCLUSIONS: Barriers to provision of care for women who 
      have had GDM, such as lack of communication of the diagnosis, need to be 
      addressed, and further interview studies exploring clinician views on screening 
      for T2DM are required.
CI  - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved.
FAU - Van Ryswyk, Emer
AU  - Van Ryswyk E
AD  - Australian Research Centre for Health of Women and Babies (ARCH), Robinson 
      Research Institute, School of Paediatrics and Reproductive Health, The University 
      of Adelaide, 72 King William Road, North Adelaide, 5006, Adelaide, SA, Australia. 
      Electronic address: emer.vanryswyk@adelaide.edu.au.
FAU - Middleton, Philippa
AU  - Middleton P
AD  - Australian Research Centre for Health of Women and Babies (ARCH), Robinson 
      Research Institute, School of Paediatrics and Reproductive Health, The University 
      of Adelaide, 72 King William Road, North Adelaide, 5006, Adelaide, SA, Australia. 
      Electronic address: philippa.middleton@adelaide.edu.au.
FAU - Hague, William
AU  - Hague W
AD  - Australian Research Centre for Health of Women and Babies (ARCH), Robinson 
      Research Institute, School of Paediatrics and Reproductive Health, The University 
      of Adelaide, 72 King William Road, North Adelaide, 5006, Adelaide, SA, Australia. 
      Electronic address: bill.hague@adelaide.edu.au.
FAU - Crowther, Caroline
AU  - Crowther C
AD  - Australian Research Centre for Health of Women and Babies (ARCH), Robinson 
      Research Institute, School of Paediatrics and Reproductive Health, The University 
      of Adelaide, 72 King William Road, North Adelaide, 5006, Adelaide, SA, Australia; 
      Liggins Institute, The University of Auckland, Private Bag 92019 Victoria Street 
      West, Auckland 1142 West Auckland 1142, New Zealand. Electronic address: 
      caroline.crowther@adelaide.edu.au.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
DEP - 20140916
PL  - Ireland
TA  - Diabetes Res Clin Pract
JT  - Diabetes research and clinical practice
JID - 8508335
SB  - IM
MH  - Diabetes, Gestational/*diagnosis
MH  - Female
MH  - Health Personnel/*statistics & numerical data
MH  - Humans
MH  - Postpartum Period
MH  - Pregnancy
MH  - *Qualitative Research
OTO - NOTNLM
OT  - Gestational diabetes mellitus
OT  - Healthcare
OT  - Postpartum
EDAT- 2014/12/03 06:00
MHDA- 2015/07/08 06:00
CRDT- 2014/12/03 06:00
PHST- 2014/02/14 00:00 [received]
PHST- 2014/05/09 00:00 [revised]
PHST- 2014/09/05 00:00 [accepted]
PHST- 2014/12/03 06:00 [entrez]
PHST- 2014/12/03 06:00 [pubmed]
PHST- 2015/07/08 06:00 [medline]
AID - S0168-8227(14)00396-9 [pii]
AID - 10.1016/j.diabres.2014.09.001 [doi]
PST - ppublish
SO  - Diabetes Res Clin Pract. 2014 Dec;106(3):401-11. doi: 
      10.1016/j.diabres.2014.09.001. Epub 2014 Sep 16.