Postpartum Care for Women with Gestational Diabetes.

PURPOSE: To assess postpartum gestational diabetes mellitus (GDM) practice patterns of providers in a large, tertiary care hospital. A retrospective review of medical records for women with GDM receiving postpartum care in 2012 was conducted to estimate the percentage who received a postpartum visit, glucose testing, and preventive follow-up care. STUDY DESIGN AND METHODS: A sample of 97 charts was reviewed. Pearson's chi-squared tests and Fisher's exact test were used, as appropriate, to examine differences in documented care by race/ethnicity, insurance type, and type of medical provider. RESULTS: Within the system of study, 53 of 97 women (55%) with GDM had a documented postpartum visit, with disparities by race/ethnicity and insurance type, and 18 (19%) had a documented oral glucose tolerance test after 6 weeks postpartum. Most providers routinely documented interacting with patients around infant feeding, family planning, and emotional status, but fewer documented providing specific care to help patients manage future diabetes risk, with advance practice nurses significantly more likely than physicians to document some aspects of preventive care. CLINICAL IMPLICATIONS: Postpartum GDM care could be improved by educating providers on the current postpartum GDM standard of care and use of the 5 A's framework for health promotion; prompting providers to order appropriate screenings and document the 5 A's; coordinating follow-up glucose screening and behavioral management with the postpartum visit and subsequent family planning visits; notifying primary care providers and pediatricians of the GDM diagnosis to ensure continuity of care; and referring to allied healthcare providers for intensive behavior change support.

History of midwifery in New Mexico: partnership between curandera-parteras and the New Mexico Department of Health.

Curandera-parteras (traditional Hispanic midwives) have been in northern New Mexico since before its statehood. In the 1930s, the New Mexico Department of Health began a valuable relationship with the curandera-parteras through the Midwife Consultant Program. This article describes the relationship between the curandera-parteras and the New Mexico Department of Health originating in the 1920s. The amenable and effective working relationship achieved between curandera-parteras and public health during this time period helped create the positive support for midwifery that is apparent in New Mexico today.