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

Author

Listed:
  • Sharon P. Luccisano

    (Tasmanian Health Service—North West, Brickport Road, Burnie, TAS 7320, Australia)

  • Heinrich C. Weber

    (Tasmanian Health Service—North West, Brickport Road, Burnie, TAS 7320, Australia)

  • Giuliana O. Murfet

    (Tasmanian Health Service—North West, Brickport Road, Burnie, TAS 7320, Australia)

  • Iain K. Robertson

    (Clifford Craig Foundation, Launceston, TAS 7250, Australia
    School of Health Sciences, Newnham Campus, University of Tasmania, Launceston, TAS 7250, Australia)

  • Sarah J. Prior

    (School of Medicine, Cradle Coast Campus, University of Tasmania, 16-20 Mooreville Road, Burnie, TAS 7320, Australia)

  • Andrew P. Hills

    (School of Health Sciences, Newnham Campus, University of Tasmania, Launceston, TAS 7250, Australia)

Abstract

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.

Suggested Citation

  • Sharon P. Luccisano & Heinrich C. Weber & Giuliana O. Murfet & Iain K. Robertson & Sarah J. Prior & Andrew P. Hills, 2021. "An Audit of Pre-Pregnancy Maternal Obesity and Diabetes Screening in Rural Regional Tasmania and Its Impact on Pregnancy and Neonatal Outcomes," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12006-:d:680066
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