Improving postpartum glucose monitoring in women with gestational diabetes

M. D. Soffer, S. H. Factor, A. Rosenman, C. Levy, J. Stone

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective: To improve 6-week postpartum visit attendance, glucose test ordering and test completion among postpartum patients with a history of gestational diabetes (GDM). Methods: Pre- and post-intervention GDM women at Mount Sinai Hospital were studied via chart review. Interventions included advanced order sets for glucose monitoring at the 35-week pregnancy visit, educational modules, and nutritionist phone calls reminding patients to attend postpartum visits fasting. Results: One hundred and seven pre-intervention and 42 post-intervention women were studied. Percentages of orders placed for postpartum testing was higher post-intervention vs. pre-intervention (57% vs. 42%, p = 0.03). There were higher test completion rates post-intervention vs. pre-intervention (36% vs. 17%, p = 0.01). Postpartum visit attendance rates did not vary between the groups (73% vs. 69% p = 0.60). Six percent of patients pre-intervention fasted for postpartum visits vs. 60% post-intervention. Conclusion: There was no observed increase in women attending their 6-week postpartum visits, yet rates of completed orders for postpartum testing, women attending visits fasting, and postpartum test completions were higher post-intervention. More research may identify the barriers to attendance at 6-week postpartum visits.

Original languageEnglish
Pages (from-to)3014-3019
Number of pages6
JournalJournal of Maternal-Fetal and Neonatal Medicine
Issue number24
StatePublished - 17 Dec 2017


  • Gestational diabetes
  • attendance
  • glucose screening
  • patient adherence
  • postpartum visit


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