Evidence map›Paper›PMID 31660892›Full record

ArticleBMC pregnancy and childbirth2019

Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period.

R Kirkham, N Trap-Jensen, J A Boyle, F Barzi, E L M Barr, C Whitbread, P Van Dokkum, M Kirkwood, C Connors, E Moore and 10 more

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Postpartum uptake of diabetes screening tests in women with gestational diabetes: The PANDORA study.Diabetic medicine : a journal of the British Diabetic Association · 2023
    Article
  9. Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis.International journal of environmental research and public health · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 8 institutions in 2 countries.

R KirkhamMenzies School of Health Research and Charles Darwin University, Darwin, Australia. renae.kirkham@menzies.edu.au.
N Trap-JensenMenzies School of Health Research and Charles Darwin University, Darwin, Australia.
J A BoyleMenzies School of Health Research and Charles Darwin University, Darwin, Australia.
F BarziMenzies School of Health Research and Charles Darwin University, Darwin, Australia.
E L M BarrMenzies School of Health Research and Charles Darwin University, Darwin, Australia.
C WhitbreadMenzies School of Health Research and Charles Darwin University, Darwin, Australia.
P Van DokkumAlice Springs Hospital, Alice Springs, Australia.
M KirkwoodMenzies School of Health Research and Charles Darwin University, Darwin, Australia.
C ConnorsNorthern Territory Department of Health, Darwin, Australia.
E MooreAboriginal Medical Services Alliance Northern Territory, Darwin, Australia.
P ZimmetDepartment of Diabetes, Central Clinical School, Monash University, Melbourne, Australia.
S CorpusDanila Dilba Health Service, Darwin, Australia.
A J HanleyDepartment of Nutritional Sciences, Faculty of Medicine and the Dalla Lana School of Public Health, The University of Toronto, Toronto, Canada.
K O'DeaSchool of Health Sciences, University of South Australia, Adelaide, Australia.
J OatsMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
H D McIntyreMater Medical Research Institute, University of Queensland, Brisbane, Australia.
A BrownSouth Australian Health and Medical Research Institute, Adelaide, Australia.
J E ShawPopulation Health Research, Baker Heart and Diabetes Institute, Melbourne, Australia.
L Maple-BrownMenzies School of Health Research and Charles Darwin University, Darwin, Australia.
NT Diabetes in Pregnancy Partnership
Charles Darwin University · AUBaker Heart and Diabetes Institute · AUNorthern Territory Health Services · AUThe University of Queensland · AUMonash University · AUThe University of Melbourne · AUUniversity of South Australia · AUUniversity of Toronto · CA

Funding

National Health and Medical Research Council 1078477National Health and Medical Research Council 1092968
6 · The paper itself

Abstract

backgroundAboriginal and Torres Strait Islander women experience high rates of diabetes in pregnancy (DIP), contributing to health risks for mother and infant, and the intergenerational cycle of diabetes. By enhancing diabetes management during pregnancy, postpartum and the interval between pregnancies, the DIP Partnership aims to improve health outcomes and reduce risks early in the life-course. We describe a mixed methods formative study of health professional's perspectives of antenatal and post-partum diabetes screening and management, including enablers and barriers to care.

methodsHealth professionals involved in providing diabetes care in pregnancy, from a range of health services across the Northern Territory, completed the survey (n = 82) and/or took part in interviews and/or focus groups (n = 62).

resultsQualitative findings highlighted factors influencing the delivery of care as reported by health professionals, including: whose responsibility it is, access to care, the baby is the focus and pre-conception care. The main challenges were related to: disjointed systems and confusion around whose role it is to provide follow-up care beyond six weeks post-partum. Quantitative findings indicated that the majority of health professionals reported confidence in their own skills to manage women in the antenatal period (62%, 40/79) and slightly lower rates of confidence in the postpartum interval (57%, 33/58).

conclusionThese findings regarding whose role it is to provide postpartum care, along with opportunities to improve communication pathways and follow up care have informed the design of a complex health intervention to improve health systems and the provision of DIP related care.

Indexed as

Diabetes, GestationalMaternal-Child Health ServicesPerinatal CarePregnancy in DiabeticsAdultAttitude of Health PersonnelAustralian Aboriginal and Torres Strait Islander PeoplesBirth IntervalsCultural CompetencyFemaleFocus GroupsHealth Services AccessibilityHealth Services Needs and DemandHumansInfantMaleAntenatalDiabetes in pregnancyHealthcare servicesIndigenousPostpartum

Identifiers

PMID31660892
PMCPMC6819653
OpenAlexW2982510980

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.