An Audit of Pre-Pregnancy Maternal Obesity and Diabetes Screening in Rural Regional Tasmania and Its Impact on Pregnancy and Neonatal Outcomes

International Journal of Environmental Research and Public Health

Iain K. Robertson¹  Andrew P. Hills²  Sarah J. Prior³  Giuliana O. Murfet⁴  Heinrich C. Weber⁴  Sharon P. Luccisano⁴ 

[1] Clifford Craig Foundation, Launceston, TAS 7250, Australia;School of Health Sciences, Newnham Campus, University of Tasmania, Launceston, TAS 7250, Australia;School of Medicine, Cradle Coast Campus, University of Tasmania, 16-20 Mooreville Road, Burnie, TAS 7320, Australia;Tasmanian Health Service—North West, Brickport Road, Burnie, TAS 7320, Australia;

关键词: adverse maternal outcomes;    gestational diabetes;    gestational weight gain;    obesity;    obstetric complications;    pregnancy;   

DOI  :  10.3390/ijerph182212006

来源: DOAJ

【 摘 要 】

Maternal obesity in pregnancy, a growing health problem in Australia, adversely affects both mothers and their offspring. Gestational diabetes mellitus (GDM) is similarly associated with adverse pregnancy and neonatal complications. A low-risk digital medical record audit of antenatal and postnatal data of 2132 pregnant mothers who gave birth between 2016–2018 residing in rural-regional Tasmania was undertaken. An expert advisory group guided the research and informed data collection. Fifty five percent of pregnant mothers were overweight or obese, 43.6% gained above the recommended standards for gestational weight gain and 35.8% did not have an oral glucose tolerance test. The audit identified a high prevalence of obesity among pregnant women and low screening rates for gestational diabetes mellitus associated with adverse maternal and neonatal pregnancy outcomes. We conclude that there is a high prevalence of overweight and obesity among pregnant women in rural regional Tasmania. Further GDM screening rates are low, which require addressing.

【 授权许可】

Unknown