Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period
Abstract Background Aboriginal 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 betwee...
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12884-019-2562-6 |
| _version_ | 1818116592696819712 |
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| author | 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 P. Zimmet S. Corpus A. J. Hanley K. O’Dea J. Oats H. D. McIntyre A. Brown J. E. Shaw L. Maple-Brown On behalf of the NT Diabetes in Pregnancy Partnership |
| author_facet | 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 P. Zimmet S. Corpus A. J. Hanley K. O’Dea J. Oats H. D. McIntyre A. Brown J. E. Shaw L. Maple-Brown On behalf of the NT Diabetes in Pregnancy Partnership |
| author_sort | R. Kirkham |
| collection | DOAJ |
| description | Abstract Background Aboriginal 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. Methods Health 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). Results Qualitative 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). Conclusion These 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. |
| first_indexed | 2024-12-11T04:24:58Z |
| format | Article |
| id | doaj.art-d6d3a5e447214a0ab4ff49eb36897771 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-11T04:24:58Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-d6d3a5e447214a0ab4ff49eb368977712022-12-22T01:21:00ZengBMCBMC Pregnancy and Childbirth1471-23932019-10-0119111010.1186/s12884-019-2562-6Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy periodR. Kirkham0N. Trap-Jensen1J. A. Boyle2F. Barzi3E. L. M. Barr4C. Whitbread5P. Van Dokkum6M. Kirkwood7C. Connors8E. Moore9P. Zimmet10S. Corpus11A. J. Hanley12K. O’Dea13J. Oats14H. D. McIntyre15A. Brown16J. E. Shaw17L. Maple-Brown18On behalf of the NT Diabetes in Pregnancy PartnershipMenzies School of Health Research and Charles Darwin UniversityMenzies School of Health Research and Charles Darwin UniversityMenzies School of Health Research and Charles Darwin UniversityMenzies School of Health Research and Charles Darwin UniversityMenzies School of Health Research and Charles Darwin UniversityMenzies School of Health Research and Charles Darwin UniversityAlice Springs HospitalMenzies School of Health Research and Charles Darwin UniversityNorthern Territory Department of HealthAboriginal Medical Services Alliance Northern TerritoryDepartment of Diabetes, Central Clinical School, Monash UniversityDanila Dilba Health ServiceDepartment of Nutritional Sciences, Faculty of Medicine and the Dalla Lana School of Public Health, The University of TorontoSchool of Health Sciences, University of South AustraliaMelbourne School of Population and Global Health, University of MelbourneMater Medical Research Institute, University of QueenslandSouth Australian Health and Medical Research InstitutePopulation Health Research, Baker Heart and Diabetes InstituteMenzies School of Health Research and Charles Darwin UniversityAbstract Background Aboriginal 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. Methods Health 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). Results Qualitative 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). Conclusion These 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.http://link.springer.com/article/10.1186/s12884-019-2562-6Diabetes in pregnancyPostpartumAntenatalHealthcare servicesIndigenous |
| spellingShingle | 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 P. Zimmet S. Corpus A. J. Hanley K. O’Dea J. Oats H. D. McIntyre A. Brown J. E. Shaw L. Maple-Brown On behalf of the NT Diabetes in Pregnancy Partnership Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period BMC Pregnancy and Childbirth Diabetes in pregnancy Postpartum Antenatal Healthcare services Indigenous |
| title | Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period |
| title_full | Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period |
| title_fullStr | Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period |
| title_full_unstemmed | Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period |
| title_short | Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period |
| title_sort | diabetes care in remote australia the antenatal postpartum and inter pregnancy period |
| topic | Diabetes in pregnancy Postpartum Antenatal Healthcare services Indigenous |
| url | http://link.springer.com/article/10.1186/s12884-019-2562-6 |
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