Construction and application of a postpartum follow-up checklist for gestational diabetes mellitus
Objective To construct a checklist of postpartum follow-up of gestational diabetes mellitus(GDM)parturients,and standardize the content and process of postpartum follow-up of GDM parturients.Methods We developed the first draft postpartum follow-up checklist for gestational diabetes mellitus based on an evidence-based approach.The Delphi method was used to conduct two rounds of correspondence consultation with 18 experts,and the postpartum follow-up checklist of GDM was formed.The follow-up checklist was preliminarily applied,and the final list was formed after the revision.Results The positive coefficients of experts in both rounds of correspondence were 100%;the authority coefficients of experts were 0.914 and 0.919,Kendall harmony coefficients were 0.214 and 0.188,respectively(all P<0.001).The final list of postpartum follow-up of GDM parturients contained six primary indicators(postpartum glucose and lipid metabolism status,health behavior management status,postpartum psychological status,offspring health status,family social support status,and postpartum health guidance),18 secondary indicators,and 46 tertiary indicators.Meanwhile,a health guidance manual for postpartum care of GDM was formed.Conclusion The content of postpartum follow-up list constructed in this study is scientific and comprehensive,which can provide a basis for postpartum follow-up of pregnant women with gestational diabetes.