Postnatal gestational diabetes mellitus follow-up: Perspectives of Australian hospital clinicians and general practitioners

Kilgour, Catherine, Bogossian, Fiona Elizabeth, Callaway, Leonie and Gallois, Cindy (2018) Postnatal gestational diabetes mellitus follow-up: Perspectives of Australian hospital clinicians and general practitioners. Women and birth : journal of the Australian College of Midwives, . doi:10.1016/j.wombi.2018.04.011


Author Kilgour, Catherine
Bogossian, Fiona Elizabeth
Callaway, Leonie
Gallois, Cindy
Title Postnatal gestational diabetes mellitus follow-up: Perspectives of Australian hospital clinicians and general practitioners
Journal name Women and birth : journal of the Australian College of Midwives   Check publisher's open access policy
ISSN 1878-1799
Publication date 2018-05-04
Sub-type Article (original research)
DOI 10.1016/j.wombi.2018.04.011
Open Access Status Not yet assessed
Publisher Elsevier B.V.
Language eng
Subject 2729 Obstetrics and Gynaecology
2913 Maternity and Midwifery
Abstract The reasons for low postnatal screening rates for women with gestational diabetes mellitus are not well understood. Multiple care providers, settings and changes to diagnostic criteria, may contribute to confusion over postnatal care. Quality of communication between clinicians may be an important influence for the completion of postnatal gestational diabetes mellitus follow-up.

Describe and analyse communication processes between hospital clinicians (midwives, medical, allied staff) and general practitioners who provide postnatal gestational diabetes mellitus care.

Purposive sampling and convergent interviews explored participants' communication experiences providing gestational diabetes mellitus postnatal follow-up. Data were analysed with Leximancer automated content analysis software; interpretation was undertaken using Communication Accommodation Theory.

Clinicians who provided maternity care at a tertiary referral hospital (n=13) in Queensland, Australia, and general practitioners (n=16) who provided maternity shared care with that hospital between December 2012 and July 2013.

Thematic analysis identified very different perspectives between the experiences of General Practitioners and hospital clinicians; six themes emerged. General practitioners were concerned about themes relating to discharge summaries and follow-up guidelines. In contrast, hospital clinicians were more concerned about themes relating to gestational diabetes mellitus antenatal care and specialist clinics. Two themes, gestational diabetes mellitus women and postnatal checks were shared.

Gestational diabetes mellitus follow-up is characterised by communication where general practitioners appear to be information seekers whose communication needs are not met by hospital clinicians. Midwives are ideally placed to assist in improving communication and postnatal gestational diabetes mellitus follow-up.
Keyword Communication theory
General practitioners
Gestational diabetes
Midwives
Postnatal care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Pubmed Import
 
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Created: Wed, 09 May 2018, 10:01:47 EST