Post-delivery screening of women following gestational diabetes mellitus (GDM): communication between mothers, hospital and general practice

Kilgour, Catherine M., Bogossian, Fiona, Gallois, Cindy, Jackson, Claire and Callaway, Leonie K. (2013). Post-delivery screening of women following gestational diabetes mellitus (GDM): communication between mothers, hospital and general practice. In: Breastfeeding and Obesity: Implementing changes from new guidelines. Australasian Diabetes in Pregnancy Society (ADIPS) Annual Scientific Meeting 2013, Sydney, NSW, Australia, (). 30-31 August, 2013.

Author Kilgour, Catherine M.
Bogossian, Fiona
Gallois, Cindy
Jackson, Claire
Callaway, Leonie K.
Title of paper Post-delivery screening of women following gestational diabetes mellitus (GDM): communication between mothers, hospital and general practice
Conference name Australasian Diabetes in Pregnancy Society (ADIPS) Annual Scientific Meeting 2013
Conference location Sydney, NSW, Australia
Conference dates 30-31 August, 2013
Proceedings title Breastfeeding and Obesity: Implementing changes from new guidelines
Publication Year 2013
Sub-type Poster
Language eng
Formatted Abstract/Summary
Background: Australian and international guidelines recommend that all women diagnosed with gestational diabetes mellitus (GDM) undertake post-delivery follow up screening to assess regulation of blood glucose levels and monitor an increased risk of developing type two diabetes. Why mothers fail to complete recommended post-delivery follow up screening after a GDM complicated pregnancy is not well understood, however quality of intergroup communication has been implicated.

Multiple care settings and care providers are associated with communication problems, miscommunication and communication failures - particularly when pregnancy or birth complications occur. Ineffective communication is associated with negative effects on experiences and outcomes; conversely effective communication is associated with positive outcomes like improved quality of patient care, and patient and clinician satisfaction.

Method: Individual in-depth convergent interviews were undertaken with a) mothers following GDM (n=13), b) hospital maternity clinicians caring for GDM mothers (n=10); and c) general practitioners providing postnatal follow up (n=10). Interviews were recorded and transcribed then verified by individual participants. Transcripts were analysed using Leximancer text mining software then interpreted using Communication accommodation theory, to identify intergroup relations and influence on patient care.

Results: These results provide the first study of intergroup communication between major stakeholders; patients, hospital, and general practitioners regarding post-delivery follow up screening after GDM.

Implications: Multidisciplinary team care is recommended for women with complications of pregnancy, including GDM. Understanding current intergroup communication may help establish more effective strategies to improve postnatal screening rates of the increasing number of women diagnosed with gestational diabetes mellitus (GDM).
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Conference Paper
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Tue, 03 Dec 2013, 12:33:35 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work