Introduction <p>Gestational diabetes mellitus (GDM) is common diagnosis during pregnancy and has a substantial effect on maternal and fetal morbidity. Advancements in healthcare technology, such as Bluetooth-enabled glucometers, telemedicine, and virtual clinics, have emerged as efficient tools for GDM management.</p> Methods <p>This is a retrospective study of clinical outcomes in women with GDM across two time points (January–June 2019 and January–June 2021) following the introduction of a virtual care pathway in a tertiary referral maternity hospital. Demographic, GDM management and birth outcomes data were collected anonymously from electronic hospital records and analysed.</p> Results <p>A total of 583 patients were included, 2019 (<i>n</i> = 227) and 2021 (<i>n</i> = 356). We found higher rates of attendance at GDM education via the virtual platform (99.4% vs 95.6%, <i>p</i> &lt; 0.01), faster access to GDM care and initiation of treatment (<i>p</i> &lt; 0.001) in 2021.</p> Conclusion <p>Our study shows higher rates of attendance at our virtual GDM education pathway led to a faster initiation of pharmacological therapy.</p>

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Implementation of a Gestational Diabetes Virtual Care Clinic: A Before–After Comparative Study

  • Ciara Coveney,
  • Shauna Callaghan,
  • Eimear Rutter,
  • Catherine Chambers,
  • Joy Adekanmbi,
  • Hannah Rooney,
  • Ricardo Segurado,
  • Mary F. Higgins,
  • Mensud Hatunic

摘要

Introduction

Gestational diabetes mellitus (GDM) is common diagnosis during pregnancy and has a substantial effect on maternal and fetal morbidity. Advancements in healthcare technology, such as Bluetooth-enabled glucometers, telemedicine, and virtual clinics, have emerged as efficient tools for GDM management.

Methods

This is a retrospective study of clinical outcomes in women with GDM across two time points (January–June 2019 and January–June 2021) following the introduction of a virtual care pathway in a tertiary referral maternity hospital. Demographic, GDM management and birth outcomes data were collected anonymously from electronic hospital records and analysed.

Results

A total of 583 patients were included, 2019 (n = 227) and 2021 (n = 356). We found higher rates of attendance at GDM education via the virtual platform (99.4% vs 95.6%, p < 0.01), faster access to GDM care and initiation of treatment (p < 0.001) in 2021.

Conclusion

Our study shows higher rates of attendance at our virtual GDM education pathway led to a faster initiation of pharmacological therapy.