title: Improving postpartum glucose monitoring in women with gestational diabetes.
abstract: 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: a Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Hospital , New York , NY , USA.
authors.forename: M D
authors.identifier: http://orcid.org/0000-0002-9066-9757
authors.initials: MD
authors.lastname: Soffer
authors.affiliation: a Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Hospital , New York , NY , USA.|b Department of Infectious Disease, Mount Sinai Hospital , New York , NY , USA.
authors.forename: S H
authors.initials: SH
authors.lastname: Factor
authors.affiliation: a Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Hospital , New York , NY , USA.
authors.forename: A
authors.initials: A
authors.lastname: Rosenman
authors.affiliation: a Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Hospital , New York , NY , USA.|c Department of Endocrinology, Diabetes, and Bone Disease Mount Sinai Hospital , New York , NY , USA.
authors.forename: C
authors.initials: C
authors.lastname: Levy
authors.affiliation: a Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Hospital , New York , NY , USA.|d Department of Maternal Fetal Medicine, Mount Sinai Hospital , New York , NY , USA.
authors.forename: J
authors.initials: J
authors.lastname: Stone
mesh_terms: D000328:Adult; D001774:Blood Chemical Analysis / Q000592:standards; D001786:Blood Glucose / Q000032:analysis*; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000097:blood* / Q000175:diagnosis; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods / Q000592:standards*; D011181:Postnatal Care / Q000379:methods / Q000592:standards*; D049590:Postpartum Period / Q000097:blood*; D011247:Pregnancy; D058996:Quality Improvement; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D001786:Blood Glucose
keywords: Gestational diabetes; attendance; glucose screening; patient adherence; postpartum visit