Evidence mapPaperPMID 31021939Full record

SynthesisThe Journal of perinatal & neonatal nursing

Continued Disparities in Postpartum Follow-Up and Screening Among Women With Gestational Diabetes and Hypertensive Disorders of Pregnancy: A Systematic Review.

Emily J Jones, Teri L Hernandez, Joyce K Edmonds, Erin P Ferranti

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The Journal of perinatal & neonatal nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Guideline
  2. A Systematic Review of Complications Following Pre-eclampsia.Maternal and child health journal · 2024
    Pooled it
  3. Trial
  4. Receipt of postpartum diabetes screening after gestational diabetes mellitus in the United States, 2016-2022.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Emily J JonesCollege of Nursing and Health Sciences, University of Massachusetts Boston (Dr Jones); Department of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado School of Medicine, Aurora (Dr Hernandez); College of Nursing, University of Colorado, Anschutz Medical Campus, Aurora (Dr Hernandez); Connell School of Nursing, Boston College, Boston, Massachusetts (Dr Edmonds); and Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Ferranti).
Teri L Hernandez
Joyce K Edmonds
Erin P Ferranti
Universidad Dr. José Gregorio Hernández · VEEdmonds Community College · USJones College · US

Funding

NIDDK NIH HHS R01 DK101659NINR NIH HHS K01 NR017664
6 · The paper itself

Abstract

The postpartum period represents a critical window to initiate targeted interventions to improve cardiometabolic health following pregnancies complicated by gestational diabetes mellitus and/or a hypertensive disorder of pregnancy. The purpose of this systematic review was to examine studies published since 2011 that report rates of postpartum follow-up and risk screening for women who had gestational diabetes and/or a hypertensive disorder of pregnancy and to identify disparities in care. Nine observational studies in which postpartum follow-up visits and/or screening rates were measured among US women following pregnancies complicated by gestational diabetes and/or a hypertensive disorder of pregnancy were reviewed. Rates of postpartum follow-up ranged from 5.7% to 95.4% with disparities linked to black race and Hispanic ethnicity, low level of education, and coexisting morbidities such as mental health disorders. Follow-up rates were increased if the provider was an obstetrician/endocrinologist versus primary care. Payer source was not associated with follow-up rates. The screening rate for diabetes in women who had gestational diabetes did not exceed 58% by 4 months across the studies analyzed, suggesting little improvement in the last 10 years. While women who had a hypertensive disorder appear to have had a postpartum blood pressure measured, it is unclear whether follow-up intervention occurred. Overall, postpartum screening rates for at-risk women remain suboptimal and vary substantially. Further research is warranted including reliable population-level data to inform equitable progress to meeting the evidence-informed guidelines.

Indexed as

Diabetes, GestationalFemaleFollow-Up StudiesHealthcare DisparitiesHumansHypertension, Pregnancy-InducedMass ScreeningMaternal DeathPostnatal CarePostpartum PeriodPregnancyPregnancy, High-RiskPregnancy OutcomeRisk Assessment

Identifiers

PMID31021939
PMCPMC6485948
OpenAlexW2941083137

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.