"Quality Improvement Success Stories" are published by the American Diabetes Association in collaboration with the American College of Physicians, Inc., and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of . The following article describes the efforts of a U.S. Airforce diabetes specialty clinic to improve the delivery of preconception counseling to women with diabetes who are of childbearing potential.
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| http://dx.doi.org/10.2337/cd18-0109 | DOI Listing |
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Offering reproductive genetic carrier screening for cystic fibrosis, spinal muscular atrophy and fragile X syndrome: Views of Victorian general practitioners.
Aust J Gen Pract
December 2024
PhD, GDipGenetCouns, Honorary Principal Fellow, Department of Paediatrics, University of Melbourne, Melbourne, Vic; Associate Professor, Head of Service Development, Reproductive Genetics and Group Leader @ Reproductive Genetic Counselling, Victorian Clinical Genetics Services, Murdoch Children@s Research Institute, Melbourne, Vic
Background And Objectives: The Royal Australian College of General Practice recommends that all women contemplating pregnancy or in early pregnancy should be offered reproductive genetic carrier screening (RGCS). In November 2023, a new Medicare item number was introduced for RGCS to detect cystic fibrosis (CF), spinal muscular atrophy (SMA) and fragile X syndrome (FXS) carrier status. The role of general practice in offering RGCS is recognised as being of crucial importance, but only a minority of general practitioners (GPs) are offering such screening.
View Article and Find Full Text PDFThe contemporary Cardio-Obstetrics team: The path to improving maternal outcomes in high-risk patients.
Am Heart J
December 2024
Maternal Fetal Medicine Cardiology Joint Program, Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, 1825 Eastchester Road, Room 701, Bronx, New York 10461.
The field of Cardio-Obstetrics is focused on mitigating cardiovascular risk among pregnant and post-partum individuals. Due to the complexity of caring for pregnant people with acquired or congenital cardiac disease, patients with these conditions are increasingly managed in multidisciplinary Cardio-Obstetrics teams, which are now considered essential to optimize maternal care in high-risk patients. Cardio-Obstetrics teams are composed of multiple subspecialists and have at least three roles: 1.
View Article and Find Full Text PDFApproach to Glomerular Disease in Pregnancy.
Indian J Nephrol
July 2024
Department of Nephrology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Article Synopsis
- Glomerular diseases during pregnancy pose significant challenges for both patients and nephrologists, requiring careful planning and collaboration for optimal care.
- Effective management focuses on controlling blood pressure, protein levels, and disease activity to reduce risks during pregnancy.
- The review highlights the importance of preconception counseling, as well as antenatal and postnatal care, while discussing the role of immunosuppression in treating glomerular diseases.
Preconception carrier screening in couples seeking IVF: exploring the patient perspective.
Reprod Biomed Online
September 2024
Department of Clinical Genetics, Maastricht University Medical Centre+, Maastricht, The Netherlands; Department of Health Promotion/CAPHRI, Maastricht University, Maastricht, The Netherlands.
Research Question: What is the level of understanding, and what are the attitudes and considerations regarding preconception carrier screening (PCS) among couples seeking IVF or intracytoplasmic sperm injection (ICSI)?
Design: A mixed-methods design was used. Nine interviews were conducted with couples or individual partners (n = 16) who had an initial consultation for IVF/ICSI in the 2 years preceding this study. A questionnaire was completed by 115 participants.
The feasibility of integrating an alcohol screening clinical decision support tool into primary care clinical software: a review and Australian key stakeholder study.
BMC Prim Care
December 2024
Department of General Practice and Primary Care, The University of Melbourne, Victoria, 3010, Australia.
Background: This study explored the feasibility of integrating a clinical decision support tool into general practice clinical management software in Australia to prompt for alcohol screening among patients who are pregnant or planning a pregnancy. The study aimed to increase understanding of what is an appropriate and acceptable clinical decision support tool, the circumstances when a prompt to use such a screening tool should occur, and the barriers and enablers of successful implementation.
Methods: This feasibility study employed a mixed methods approach and purposive sampling to identify key stakeholders to interview.
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