Gestational diabetes & diabetes in pregnancy
Cross-sectional study examining factors impacting on uptake of postpartum type 2 diabetes screening among women diagnosed with hyperglycaemia in pregnancy
Authors' conclusion
Improving identification of factors affecting postpartum T2DM screening uptake, such as demographics, socioeconomic context and events during pregnancy, may lead to development of target interventions to aide adherence to screening regime and thereby diagnosis of women with prediabetes or diabetes, for whom secondary and tertiary prevention is crucial.
Study context
- Population
- All deliveries where the mother had hyperglycaemia in pregnancy (HIP) in France in 2015
- Participants
- 76,862 deliveries
- Outcome
- Uptake of postpartum T2D screening
- Follow-up
- Six months postpartum
Methodological detailsnationwide, French National Health Data System, multi-level logistic regression
- Nationwide
- French National Health Data System
- Multi-level logistic regression
Main finding
As reported in the abstract
T2D screening uptake
Screening uptake
42.9%
95% CI 42.6–43.3
Observational data: associations, not effects.
Further findings
Factors associated with lower screening uptake
- Living in most deprived area, OR [CI]
- 0.78[0.74-0.83]
- Age ≤17 vs 25-29 (reference), OR [CI]
- 0.53 [0.31-0.90]
- Age 18-24 vs 25-29 (reference), OR [CI]
- 0.73[0.69-0.78]
- Smoking, OR [CI]
- 0.65[0.62-0.68]
- Obesity, OR [CI]
- 0.93[0.89-0.97]
- Caesarean delivery, OR [CI]
- 0.95[0.92-0.99]
- p < 0.01 is justified due to sample size
Factors associated with higher screening uptake
- Primiparity, OR [CI]
- 1.30[1.26-1.34]
- Followed French recommendations for HIP screening, OR [CI]
- 1.24[1.20-1.28]
- Insulin prescription, OR [CI]
- 1.75[1.69-1.81]
- Pre-eclampsia, OR [CI]
- 1.30[1.19-1.42]
- p < 0.01 is justified due to sample size
Original publication
Cross-sectional study examining factors impacting on uptake of postpartum type 2 diabetes screening among women diagnosed with hyperglycaemia in pregnancy. Diabetes Res Clin Pract. Published 23 January 2024. doi:10.
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