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Diagnosing gestational diabetes mellitus in women following bariatric surgery: A national survey of lead diabetes midwives

Whyte, M, Johnson, R, Cooke, D, Hart, KH, McCormack, M and Shawe, J (2016) Diagnosing gestational diabetes mellitus in women following bariatric surgery: A national survey of lead diabetes midwives British Journal of Midwifery., 24 (6). pp. 434-438.

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Abstract

Background: Bariatric surgery is becoming more common among women of fertile age to manage obesity. The number of pregnancies following bariatric surgery is, therefore, likely to rise. The standard oral glucose tolerance test (OGTT) may lead to dizziness, sweating and collapse in people after some types of bariatric surgery. Aims: In view of this potential pitfall in the diagnosis of gestational diabetes mellitus (GDM) after bariatric surgery, the authors surveyed midwifery units to establish current practice for the screening and diagnosis of GDM in women who have had bariatric surgery. Methods: Out of 164 English obstetric units, 120 email surveys were sent to a network of lead diabetes midwives in units across England. A reminder email was sent 4 weeks later. Findings: Twenty-seven (22.5%) responses were received. Five respondents (26%) had specific policies in place to manage pregnancies after bariatric surgery. A wide variety of approaches to GDM screening and diagnosis were used in women with a history of bariatric surgery. The OGTT was the most widely used test after bariatric surgery. Conclusions: There is a need for national clinical guidelines to be developed for the diagnosis of GDM after bariatric surgery.

Item Type: Article
Subjects : Biosciences and Medicine
Authors :
AuthorsEmailORCID
Whyte, MUNSPECIFIEDUNSPECIFIED
Johnson, RUNSPECIFIEDUNSPECIFIED
Cooke, DUNSPECIFIEDUNSPECIFIED
Hart, KHUNSPECIFIEDUNSPECIFIED
McCormack, MUNSPECIFIEDUNSPECIFIED
Shawe, JUNSPECIFIEDUNSPECIFIED
Date : June 2016
Identification Number : 10.12968/bjom.2016.24.6.434
Copyright Disclaimer : Copyright 2016 Mark Allen Healthcare
Uncontrolled Keywords : Bariatric surgery, Gestational diabetes, Obesity, Pregnancy
Depositing User : Symplectic Elements
Date Deposited : 26 Aug 2016 14:59
Last Modified : 30 Aug 2016 13:57
URI: http://epubs.surrey.ac.uk/id/eprint/811885

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