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

ied 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."


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

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