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Table 4 Health Professional opinions of current practice according to participant characteristics

From: Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period

 

Health professional

Region

Location

Time in role (years)

Total

Med Pract

n = 23

Nurse

n = 25

Dietician/DE

n = 20

Other

n = 14

p

CA

Top End

p

Urban

Remote

p

0–5

5+

p

 

Screening

 Antenatal screening

n = 76

  Yes

17 (81)

19 (76)

7 (39)

5 (42)

 

23 (66)

25 (61)

 

22 (73)

26 (57)

 

21 (49)

27 (82)

 

48 (63)

  No/unsure

4 (19)

6 (24)

11 (61)

7 (59)

0.009

12 (34)

16 (39)

0.67

8 (27)

20 (43)

0.14

22 (51)

6 (18)

0.003

28 (37)

 Postpartum screening

n = 54

  Yes

16 (94)

17 (89)

3 (27)

4 (57)

 

19 (76)

21 (72)

 

18 (86)

22 (67)

 

17 (61)

23 (88)

 

40 (74)

  No/unsure

1 (6)

2 (11)

8 (73)

3 (43)

< 0.001

6 (24)

8 (28)

0.76

3 (14)

11 (33)

0.12

11 (39)

3 (12)

0.02

14 (26)

 When screening**

n = 49

  At 6 weeks

9 (53)

12 (71)

3 (30)

2 (40)

 

13 (54)

12 (52)

 

14 (74)

12 (40)

 

14 (56)

12 (50)

 

26 (53)

  From 3 to 12 months

8 (47)

5 (29)

7 (70)

3 (60)

0.21

11 (46)

12 (48)

0.88

5 (26)

18 (60)

0.021

11 (44)

12 (50)

0.67

23 (47)

 Pre-pregnancy counselling:

n = 55

  ≤ 20%

12 (67)

17 (89)

9 (82)

5 (71)

 

21 (84)

22 (73)

 

14 (70)

29 (83)

 

25 (86)

18 (69)

 

43 (78)

  > 20%

6 (33)

2 (11)

2 (18)

2 (29)

0.38

4 (16)

8 (27)

0.34

6 (30)

6 (17)

0.27

4 (14)

8 (31)

0.13

12 (22)

Confidence

 Antenatal management

n = 79

  Confident

15 (71)

15 (40)

14 (74)

5 (36)

 

19 (54)

30 (68)

 

18 (58)

31 (65)

 

27 (59)

22 (67)

 

49 (62)

  Not confident

10 (40)

6 (29)

5 (26)

9 (64)

0.11

16 (46)

14 (32)

0.21

13 (42)

17 (35)

0.56

19 (41)

11 (33)

0.47

30 (38)

 Post-partum interval

n = 58

  Confident

14 (78)

10 (56)

6 (46)

3 (33)

 

15 (60)

18 (55)

 

11 (52)

22 (59)

 

18 (55)

15 (60)

 

33 (57)

  Not confident

4 (22)

8 (44)

7 (54)

6 (67)

0.12

10 (40)

15 (45)

0.68

10 (48)

15 (41)

0.60

15 (45)

10 (40)

0.68

25 (43)

 Pre-pregnancy counselling

n = 55

Confident

13 (76)

11 (58)

8 (73)

4 (50)

 

16 (64)

20 (67)

 

10 (53)

26 (72)

 

20 (69)

16 (62)

 

36 (65)

Not confident

4 (24)

8 (42)

3 (27)

4 (50)

0.48

9 (36)

10 (33)

0.84

9 (47)

10 (28)

0.15

9 (31)

10 (38)

0.56

19 (35)

  1. This was a self-report survey with measures such as appropriate, screening and confidence all reflecting health professionals views. Screening in the post-partum period refers to screening those without pre-existing diabetes for type 2 diabetes
  2. *Medical Practitioner includes General Practitioner and Physician/Obstetrician; Nurses include midwives and registered nurses; DE = Diabetes Educator; Other includes AHP and Managers
  3. **This screening refers to HbA1c testing in T2DM in the post-partum period