ArticleMaternal and child health journal2019
Navigating a 'Perfect Storm' on the Path to Prevention of Type 2 Diabetes Mellitus After Gestational Diabetes: Lessons from Patient and Provider Narratives.
Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Primary Care-Based Cardiovascular Disease Risk Management After Adverse Pregnancy Outcomes: a Narrative Review.Journal of general internal medicine · 2022Pooled it
- Diabetes Testing Immediately Postpartum After Gestational Diabetes Mellitus: A Randomized Controlled Trial.Obstetrics and gynecology · 2026Trial
- The STAR-MAMA RCT: Bilingual Mobile Health Coaching for Postpartum Weight Loss.American journal of preventive medicine · 2023Trial
- "I gave birth, and then I disappeared"-women's experience of primary care follow-up and lifestyle prevention after gestational diabetes.International journal of qualitative studies on health and well-being · 2026Article
- Receipt of postpartum diabetes screening after gestational diabetes mellitus in the United States, 2016-2022.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Postpartum OGTT Non-Adherence in Regional and Rural Australia: A Longitudinal Study.International journal of environmental research and public health · 2026Article
- South Asian Women's Perspectives and Recommendations on Gestational Diabetes Care and Postpartum Type 2 Diabetes Prevention in Aotearoa New Zealand: A Qualitative Study.Journal of diabetes research · 2026Article
- Barriers to Early Detection and Management of Gestational Diabetes Mellitus in Northwest Ethiopia: A Qualitative Study From the Healthcare Providers' Perspectives.Obstetrics and gynecology international · 2026Article
- Beyond one size fits all: Probing patient choices in gestational diabetes management, from screening to postpartum.Chronic diseases and translational medicine · 2025Review
- Bridging the Postpartum Cliff-First Year Outcomes of a Postpartum Transition to Primary Care Clinic.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Improved Diabetes Screening for Women After Gestational Diabetes Mellitus.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Primary Care for Gestational Diabetes: A Bibliometric Analysis of Publications from 1991 to 2024.International journal of environmental research and public health · 2024Article
- A Social-Ecological Model Exploring Gestational Diabetes Mellitus Screening Practices Among Antenatal Health Care Providers.Health education & behavior : the official publication of the Society for Public Health Education · 2024Article
- Barriers to Implementing the Kidney Disease Outcomes Quality Initiative End-Stage Kidney Disease Life Plan Guideline.Journal of general internal medicine · 2023Article
- Follow-up after gestational diabetes: a qualitative study of perspectives from general practices.BJGP open · 2022Article
- A scoping review of gestational diabetes mellitus healthcare: experiences of care reported by pregnant women internationally.BMC pregnancy and childbirth · 2022Article
- Barriers and facilitators to diabetes screening and prevention after a pregnancy complicated by gestational diabetes.PloS one · 2022Article
- Understanding Gestational Diabetes, Future Diabetes Risk, and Diabetes Prevention: A Qualitative Study of Patient, Provider, and Staff Perspectives.Clinical diabetes : a publication of the American Diabetes Association · 2022Article
- A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations.EClinicalMedicine · 2021Article
- How do reminder systems in follow-up screening for women with previous gestational diabetes work? - a realist review.BMC health services research · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
Objectives Complications of pregnancy such as gestational diabetes mellitus (GDM) forewarn future chronic illness and disability, and demonstrate the need for a life course approach to prevention. Our study had two aims: (1) to elucidate how experiences reported by patients and providers converge to facilitate or impede follow-up care after GDM, and (2) to elicit recommendations for system-level changes to enhance prevention across key care transitions. Methods We conducted in-depth interviews with 30 GDM patients and 29 providers of maternity, specialty and primary care in an urban safety hospital network, and used a three-tiered thematic analysis to interpret their narratives. Results Findings reveal that a 'perfect storm' gathers on the path to prevention across stages of care. At diagnosis, patients feel profound anxiety about the debilitating effects of type 2 diabetes mellitus in their communities, providers choose reassurance over risk communication, and both focus primarily on the birth of a healthy baby. Providers report that clinical teams often lack coordination, and confuse patients with a barrage of often-inconsistent advice. In the postpartum period, providers juggle competing clinical priorities and mothers juggle overwhelming demands; for both, the recommended 2-h oral glucose tolerance test is too arduous for women and providers to do as prescribed. Finally, the transition from maternity to primary care is complicated by communication barriers between clinicians and patients, and between maternity and primary care providers. Conclusions for Practice Respondents propose systems innovations to open communication between provider specialties in order to bridge the chasm between reproductive care and life course prevention.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.