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An audit of pre-pregnancy maternal obesity and diabetes screening in rural regional Tasmania and its impact on pregnancy and neonatal outcomes


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Abstract
Maternal obesity in pregnancy, a growing health problem in Australia, adversely affectsboth mothers and their offspring. Gestational diabetes mellitus (GDM) is similarly associated withadverse pregnancy and neonatal complications. A low-risk digital medical record audit of antenataland postnatal data of 2132 pregnant mothers who gave birth between 2016–2018 residing in ruralregional Tasmania was undertaken. An expert advisory group guided the research and informed datacollection. Fifty five percent of pregnant mothers were overweight or obese, 43.6% gained above therecommended standards for gestational weight gain and 35.8% did not have an oral glucose tolerancetest. The audit identified a high prevalence of obesity among pregnant women and low screeningrates for gestational diabetes mellitus associated with adverse maternal and neonatal pregnancyoutcomes. We conclude that there is a high prevalence of overweight and obesity among pregnantwomen in rural regional Tasmania. Further GDM screening rates are low, which require addressing.
Item Type: | Article |
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Authors/Creators: | Luccisano, SP and Weber, HC and Murfet, GO and Robertson, IK and Prior, SJ and Hills, AP |
Keywords: | adverse maternal outcomes, gestational diabetes, gestational weight gain, obesity, obstetric complications, pregnancy |
Journal or Publication Title: | International Journal of Environmental Research and Public Health |
Publisher: | MDPI AG |
ISSN: | 1660-4601 |
DOI / ID Number: | https://doi.org/10.3390/ijerph182212006 |
Copyright Information: | Copyright 2021 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ |
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