Navigation Links
Phone contact with nurses linked with better outcomes for women with gestational diabetes
Date:5/25/2012

OAKLAND, Calif., May 25, 2012 Among women with gestational diabetes mellitus, referral to a telephone-based nurse management program was associated with lower risk of high baby birth weight and increased postpartum glucose testing, according to Kaiser Permanente researchers.

Investigators for the Kaiser Permanente Northern California Division of Research examined the associations between referral to telephone-based nurse consultation and outcomes in 12 Kaiser Permanente medical centers with variation in the percent of patients referred to telephonic nurse management.

"Compared with women from Kaiser Permanente medical centers where the annual proportions of referral to nurse management at the Kaiser Permanente Regional Perinatal Service Center was less than 30 percent, women who delivered in medical centers with an annual referral proportion of greater than 70 percent were less likely to have a high birth weight infant without increasing the risk or having a low birth weight infant," said Assiamira Ferrara, MD, PhD, a research scientist with the Kaiser Permanente Northern California Division of Research and the lead author of the study. "In addition, they were more likely to have postpartum glucose testing, which leads to earlier identification and management of postpartum glucose intolerance or diabetes."

The study appears online in the American Journal of Obstetrics and Gynecology.

Investigators used data from the Kaiser Permanente Northern California GDM registry to identify women who had pregnancy complicated by GDM from 1997 through 2006. They restricted their cohort to women with GDM according to the National Diabetes Data Group criteria. During the study period, 96 percent of all pregnant women without preexisting diabetes who delivered an infant were screened for GDM. Researchers excluded women who delivered multiple births due to their increased risk of perinatal complications. Overall, researchers identified 11,435 women with GDM at the 12 medical centers, of whom 44.5 percent were referred to the perinatal service center.

"The Kaiser Permanente Regional Perinatal Service Center is a nurse-based management program for women with GDM that offers supplemental care via telephone counseling to women with high-risk pregnancies, including those complicated by GDM," explained co-author Monique Hedderson, PhD, a research scientist with the Kaiser Permanente Northern California Division of Research.

The program includes a call center with 32 registered nurses and two registered dieticians who offer phone counseling seven days a week and address glucose monitoring and control, diet and physical activity. Nurses are available 24 hours a day, seven days a week, while dieticians are available to patients during the week from 8 a.m. to 5 p.m. In addition to care provided by obstetricians, women referred to the center receive one to two counseling calls per week to help them manage their blood glucose levels during pregnancy. The center also sends a laboratory slip for postpartum glucose testing and a reminder telephone call if the screening test was not performed.

The Kaiser Permanente Regional Perinatal Service Center GDM program was first implemented in 1997 in two medical centers and gradually disseminated to 12 more centers. By 2006, the program was implemented in all Kaiser Permanente medical centers.

"Due to the timeline for program implementation, there was some medical-center level variation in the percent of patients referred to the program," said Dr. Ferrara. "This allowed us to develop a quasi-experimental design to examine the association between referral to the program and infant adverse outcomes (infant high and low birth weight) and to measure processes such as patient postpartum glucose testing."


'/>"/>
Contact: Maureen McInaney
maureen.mcinaney@kp.org
510-891-3173
Kaiser Permanente
Source:Eurekalert

Related medicine news :

1. UCLA researchers combat global disease with a cell phone, Google Maps and a lot of ingenuity
2. New research could mean cellphones that can see through walls
3. Fetal Exposure to Cellphone Radiation Tied to ADHD-Like Symptoms in Mice
4. Brain Calls the Shots on Which Hand Holds Cellphone
5. Study: Brain makes call on which ear is used for cell phone
6. Texting, Talking on Cellphone Slows Walking Pace: Study
7. University of Maryland study: Headphone-distracted pedestrians face death, serious injury
8. Injuries to Pedestrians Wearing Headphones Tripled Since 2004
9. Your Smartphone May Be Stressing You Out
10. Headphone music eases anxiety during prostate biopsies
11. Wayne State study shows early research on cellphone conversations likely overestimated crash risk
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/21/2017)... ... January 21, 2017 , ... Pacifica Graduate ... the electrifying line-up of events for its annual meeting “Coming Home 2017,” an ... “Coming Home 2017” will be held on Friday January 27 through Sunday, ...
(Date:1/21/2017)... ... January 21, 2017 , ... ... medical office in Petaluma, located at 167 Lynch Creek Way. The Petaluma office ... SRO sports medicine and rehabilitation services and on-site x-ray services. Two multi-specialist ...
(Date:1/21/2017)... (PRWEB) , ... January 21, 2017 , ... ... by Austin, Texas Periodontist Dr. Dan Holtzclaw in media for its creos™ line ... two surgeries performed by Dr. Holtzclaw in which he utilizes creos™ allo.gain™ bone ...
(Date:1/20/2017)... Hagerstown, MD (PRWEB) , ... January 20, 2017 , ... ... people to donate items they no longer use or need, from clothes to couches ... up any unwanted items and take them to the nearest Goodwill donation center through ...
(Date:1/20/2017)... ... 20, 2017 , ... Source Vitál Apothecary, a skin and body care company ... the company had a successful visit to the 2017 ECRM Diet, Vitamin & Sports ... work in the nutritional, sports and health industries a chance to meet in private ...
Breaking Medicine News(10 mins):
(Date:1/20/2017)... Wells Specialty Pharmacy announces the acquisitions and merger ... Winter Park, Florida and Pharm-EZ Medical, ... have been consolidated into the 3796 Howell Branch Road Facility. ... that Chad Tomlinson , former Vice President of Operations, ... Mr. Tomlinson is a Graduate of Florida State University and ...
(Date:1/19/2017)... -- Germany Cataract Surgery Devices Market ... "Germany Cataract Surgery Devices Market Outlook to 2022", provides ... market. The report provides value, in millions of US ... market segements - Phacoemulsification Equipment and Ophthalmic Viscoelastic Devices ... distribution shares data for each of these market segements, ...
(Date:1/19/2017)... 2017 The Global Therapy Partnering Terms and ... partnering deals and agreements entered into by the world,s ... - Top deals by value - Deals listed by ... The report provides understanding and access to the ... leading healthcare companies. The report provides an analysis ...
Breaking Medicine Technology: