Gestational diabetes & diabetes in pregnancy

Telemedicine in the treatment of gestational diabetes: An observational cohort study on pregnancy outcomes and maternal satisfaction

Diabet MedPublished Observational cohort study

Authors' conclusion

Telemedicine follow-up proved to be safe both in terms of metabolic control and pregnancy outcomes; furthermore, it significantly decreased the need for outpatient consultations and increased women's satisfaction. Studying the impact of telemedicine is also necessary, considering the current difficulties associated with the Sars-COV-2 pandemic.

Study context

Population
Women with GDM treated at the Diabetology Unit of Ferrara
Participants
60 women
Exposure
Telemedicine vs outpatient care
  • Telemedicinen = 27
  • Conventionaln = 33reference
Outcome
Maternal and fetal outcomes
Methodological detailsconsecutive women
  • Consecutive women

Main finding

As reported in the abstract

Maternal and neonatal parameters
  • No statistically significant differences in most maternal and neonatal parameters between groups

Observational data: associations, not effects.

Further findings

OutcomeP value
Satisfaction with GDM treatment (modified Oxford Maternity Diabetes Treatment Satisfaction Questionnaire) · after giving birthTelemedicine vs Conventional · women felt more controlled with telemedicineP = 0.045
Satisfaction with GDM treatment (modified Oxford Maternity Diabetes Treatment Satisfaction Questionnaire) · after giving birthTelemedicine vs Conventional · fit better with lifestyle with telemedicineP = 0.005
  • Satisfaction with GDM treatment (modified Oxford Maternity Diabetes Treatment Satisfaction Questionnaire): 56 women responded

Satisfaction with GDM treatment (modified Oxford Maternity Diabetes Treatment Satisfaction Questionnaire) · after giving birth

Questionnaire scores positive in all areas investigated
Almost all women treated with telemedicine would recommend it to a relative or friend

Original publication

Telemedicine in the treatment of gestational diabetes: An observational cohort study on pregnancy outcomes and maternal satisfaction. Diabet Med. Published 11 September 2023. doi:10.1111/dme.15201

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