ArticleInternational journal of environmental research and public health2020
Primary Health Care for Aboriginal Australian Women in Remote Communities after a Pregnancy with Hyperglycaemia.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- The cultural safety of research reports on primary healthcare use by Indigenous Peoples: a systematic review.BMC health services research · 2024Pooled it
- Care provided to women during and after a pregnancy complicated by hyperglycaemia: the impacts of a multi-component health systems intervention.The Lancet regional health. Western Pacific · 2025Article
- Supporting healthy lifestyles for First Nations women and communities through co-design: lessons and early findings from remote Northern Australia.Frontiers in clinical diabetes and healthcare · 2024Article
- Successes and challenges of primary health care in Australia: A scoping review and comparative analysis.Journal of global health · 2023Article
- Postpartum uptake of diabetes screening tests in women with gestational diabetes: The PANDORA study.Diabetic medicine : a journal of the British Diabetic Association · 2023Article
- Factors Influencing the Application of Connected Health in Remote Areas, Taiwan: A Qualitative Pilot Study.International journal of environmental research and public health · 2020Article
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHyperglycaemia in pregnancy contributes to adverse outcomes for women and their children. The postpartum period is an opportune time to support women to reduce cardiometabolic and diabetes risk in subsequent pregnancies.
aimsTo identify strengths and gaps in current care for Aboriginal women after a pregnancy complicated by hyperglycaemia.
methodsA retrospective review of the 12 month postpartum care provided by primary health centres in remote Australia in 2013-2014 identified 195 women who experienced hyperglycaemia in pregnancy (gestational diabetes (GDM) (n = 147), type 2 diabetes (T2D) (n = 39), and unclear diabetes status (n = 9)).
resultsOnly 80 women (54%) with GDM had postpartum glycaemic checks. Of these, 32 women were diagnosed with prediabetes (n = 24) or diabetes (n = 8). Compared to women with GDM, women with T2D were more likely to have their weight measured (75% vs. 52%, p <0.01), and smoking status documented as "discussed" (65% vs. 34%, p < 0.01). Most women (97%) accessed the health centre at least once in the 12 month postpartum period but, during these visits, only 52% of women had service provision, either structured or opportunistic, related to diabetes.
conclusionHigh rates of dysglycaemia among women screened for T2D after GDM in the 12 month postpartum period highlight the need for increased screening and early intervention to prevent the development of T2D and its complications. Whilst a clear strength was high postpartum attendance, many women did not attend health services for diabetes screening or management.
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