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Assessment of neonatologists' competency in managing gestational diabetes complications: a cross-sectional analysis

Yi Yang1, Yao Yang1

  • 1Department of Neonatal, The Central Hospital of Enshi Tujia and Miao Autonomous, Enshi, Hubei, China.

Frontiers in Endocrinology
|July 18, 2025
PubMed

Insights

Neonatologists show high knowledge and positive attitudes towards gestational diabetes mellitus (GDM) complications. However, gaps in follow-up care and referrals persist, especially in non-academic settings.

Area of Science:

  • Neonatal Health
  • Endocrinology
  • Public Health

Background:

  • Gestational diabetes mellitus (GDM) poses significant long-term health risks for children.
  • Understanding neonatologists' perspectives on GDM is crucial for mitigating these risks.

Purpose of the Study:

  • To assess neonatologists' knowledge, attitudes, and practices (KAP) concerning offspring complications of GDM.
  • To identify factors influencing neonatologists' KAP regarding GDM.

Main Methods:

  • A cross-sectional survey of 1,614 neonatologists in Hubei Province, China.
  • Utilized a validated 28-item questionnaire covering knowledge, attitudes, and practices.
  • Analyzed data using binary logistic regression to determine predictors of satisfactory performance.

Main Results:

  • High rates of satisfactory knowledge (89%) and positive attitudes (94%) were observed.
  • Good practices were reported by 72% of neonatologists, with variations based on experience, age, and practice setting.
  • Experienced neonatologists in academic hospitals demonstrated higher competency.
  • Knowledge and positive attitudes significantly predicted practice patterns.

Conclusions:

  • While neonatologists possess strong knowledge and positive attitudes regarding GDM, implementation gaps in follow-up and referrals require attention.
  • Practice setting significantly impacts care delivery, highlighting the need for standardized protocols across different healthcare levels.
Abstract

Keywords:
China cardiomyopathyKAPalongside significantlygestational diabetes mellitusneonatologyprevalence

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