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Teleclinics for the management of diabetes in pregnancy during COVID-19-maternal satisfaction and pregnancy outcomes.
Shashikumar, Asha; Okesene-Gafa, Karaponi; Apaapa-Timu, Te Hao; Wilson, Jessica; Oyston, Charlotte.
  • Shashikumar A; Year 6 Medical Student, Department of Obstetrics and Gynaecology, The University of Auckland, New Zealand.
  • Okesene-Gafa K; Obstetrician, Women's Health, Middlemore Hospital, Counties Manukau Health; Senior lecturer, Department of Obstetrics and Gynaecology, The University of Auckland, New Zealand.
  • Apaapa-Timu TH; Maori Research advisor, Counties Manukau, Ko Awatea, Middlemore Hospital, Counties Manukau Health, New Zealand.
  • Wilson J; Data analyst, Department of Paediatrics: Child and Youth Health, The University of Auckland, New Zealand.
  • Oyston C; Obstetrician, Women's Health, Middlemore Hospital, Counties Manukau Health; Senior lecturer, Department of Obstetrics and Gynaecology, The University of Auckland, New Zealand.
N Z Med J ; 135(1562): 63-77, 2022 09 23.
Article in English | MEDLINE | ID: covidwho-2147674
ABSTRACT

AIMS:

Diabetes in pregnancy (DiP) rates are increasing worldwide. Pasifika, Indian and Maori peoples have high rates of DiP any improvements in clinical care may be beneficial for these populations. During COVID-19 lockdowns, the DiP service in Counties Manukau Health (CMH) South Auckland switched from face-to-face appointments to teleclinics. This study aims to determine satisfaction of pregnant people with teleclinics for DiP; compare clinical outcomes and attendance for those receiving care through teleclinics versus standard care; and compare rates of clinic attendance between face-to-face and teleclinic appointments.

METHODS:

A standardised questionnaire was completed by those who had attended a teleclinic. The primary outcome was a high score (4-5/5) for satisfaction and future use. A separate, retrospective study of clinical outcomes, and the number of appointments scheduled/attended were compared between all DiP patients who were scheduled an appointment during lockdown, and all of those who were scheduled appointments the year prior.

RESULTS:

Of the thirty-five participants who completed the survey (response rate 37%), 89% scored the clinic highly for satisfaction and future use. There were 179 patients scheduled to clinic during the period where teleclinics were the default model of care, and 187 patients scheduled to clinic the year prior. No differences in clinical outcomes were observed. Those receiving care during lockdown were offered more appointments, although attendance rates did not differ.

CONCLUSION:

Teleclinics for DiP are acceptable to the people we surveyed, but should be developed further so they better support the needs of those using them.
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Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research Limits: Female / Humans / Pregnancy Country/Region as subject: Oceania Language: English Journal: N Z Med J Year: 2022 Document Type: Article Affiliation country: New Zealand

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Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research Limits: Female / Humans / Pregnancy Country/Region as subject: Oceania Language: English Journal: N Z Med J Year: 2022 Document Type: Article Affiliation country: New Zealand