title: Contraception and postpartum follow-up in patients with gestational diabetes.
abstract: OBJECTIVE
  We sought to review the effect of immediate provision of postpartum contraception on postpartum follow-up and screening for type 2 diabetes in women with gestational diabetes mellitus (GDM).
  
  
  METHODS
  We performed multivariate logistic regression to identify the association between immediate provision of postpartum contraception and attendance at the 6-week postpartum visit and performance of a 6- to 12-week oral glucose tolerance test, controlling for age, type of insurance, parity and race.
  
  
  RESULTS
  Women who received contraception prior to hospital discharge were less likely to attend their postpartum visit [adjusted odds ratio (aOR) 0.59, 95% confidence interval (CI) 0.39-0.88], but just as likely to participate in postpartum diabetes screening (adjusted odds ratio (aOR) 1.27, 95% confidence interval (CI) 0.78-2.06). Attendance at the postpartum visit was associated with private insurance (OR 1.93, 95% CI 1.31-2.99).
  
  
  CONCLUSIONS
  Receiving contraception while admitted postpartum did not affect follow-up for diabetes screening for women with GDM.
authors.affiliation: Department of Obstetrics & Gynecology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: erosenthal2@partners.org.
authors.forename: Emily W
authors.initials: EW
authors.lastname: Rosenthal
authors.affiliation: Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Sarah Rae
authors.initials: SR
authors.lastname: Easter
authors.affiliation: Division of Endocrinology, Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Emma
authors.initials: E
authors.lastname: Morton-Eggleston
authors.affiliation: Division of Family Planning, Department of Obstetrics & Gynecology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Caryn
authors.initials: C
authors.lastname: Dutton
authors.affiliation: Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Chloe
authors.initials: C
authors.lastname: Zera
mesh_terms: D000328:Adult; D003267:Contraception / Q000379:methods* / Q000706:statistics & numerical data; D003271:Contraceptive Agents, Female / Q000008:administration & dosage; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis; D016640:Diabetes, Gestational; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D016015:Logistic Models; D010352:Patient Dropouts / Q000706:statistics & numerical data; D011181:Postnatal Care / Q000379:methods*; D049590:Postpartum Period; D011247:Pregnancy
chemical_list: D003271:Contraceptive Agents, Female
keywords: Diabetes screening; Gestational diabetes; Postpartum contraception; Postpartum follow-up