Emily W Rosenthal1, Sarah Rae Easter2, Emma Morton-Eggleston3, Caryn Dutton4, Chloe Zera2. 1. Department of Obstetrics & Gynecology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: erosenthal2@partners.org. 2. Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. 3. Division of Endocrinology, Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. 4. Division of Family Planning, Department of Obstetrics & Gynecology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Abstract
OBJECTIVES: 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). STUDY DESIGN: 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). CONCLUSION: Receiving contraception while admitted postpartum did not affect follow-up for diabetes screening for women with GDM.
OBJECTIVES: 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). STUDY DESIGN: 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). CONCLUSION: Receiving contraception while admitted postpartum did not affect follow-up for diabetes screening for women with GDM.