Health care of pregnant women with diabetes in Spain: Approach using a questionnaire
Por:
Rubio, JA, Ontanon, M, Perea, V, Megia, A, Chico, A.I., Corcoy R., Vinagre, Irene
Publicada:
1 mar 2016
Resumen:
Objective: To ascertain how health care for pregnant women with gestational diabetes (GD) and pregestational diabetes (PGD) is organized, and to estimate the number of Pregnancy and Diabetes Units (PDUs) in Spain in 2013.
Material and methods: The Spanish Group of Diabetes and Pregnancy (GEDE) developed and agreed on a questionnaire based on the recommendations of the group. The questionnaire was sent to members of the Spanish Society of Diabetes and the Spanish Society of Endocrinology and Nutrition.
Results: Eighty-seven questionnaires were received from 81 hospitals, 4 outpatient specialty centers, and 2 primary healthcare centers, which accounted for 51% of the Spanish population and for 39% of births in 2013. GD was mainly diagnosed based on GEDE recommendations (98%), and less than 50% of women were reevaluated after delivery in primary care. Fourteen (26%) of the 53 centers identified as PDUs corresponded to a minimal model. Continuous subcutaneous insulin infusion (CSII) therapy was not available in 30% of centers, and 13% of hospitals had no preconceptional clinics. No nurse support was available in 20% of centers.
Conclusions: Care of women with PGD has a fair coverage with PDU, but significant deficits still exist, for instance, in preconception clinic and CSII. However, organization of care for women with GD appears to be adequate. There are aspects in need of improvement such as integration of diabetes educators and coordination with primary care for postpartum reclassification. (C) 2015 SEEN. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Rubio, JA:
Hosp Univ Principe Asturias, Serv Endocrinol & Nutr, Madrid, Spain
Univ Alcala de Henares, Dept Ciencias Biomed, E-28871 Alcala De Henares, Spain
Ontanon, M:
Hosp Univ Principe Asturias, Serv Obstet & Ginecol, Madrid, Spain
Perea, V:
Hosp Mutua Terrassa, Serv Endocrinol & Nutr, Barcelona, Spain
Megia, A:
Hosp Univ Joan XXIII, Serv Endocrinol & Nutr, Tarragona, Spain
Chico, A.I.:
Hospital Santa Creu i Sant Pau, Barcelona, Spain
Corcoy R.:
Hospital Santa Creu i Sant Pau, Barcelona, Spain
Vinagre, Irene :
Hospital Clínico y Provincial de Barcelona, Barcelona, Spain
|