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Implementation of a Gestational Diabetes Virtual Care Clinic: A Before-After Comparative Study
Ciara Coveney1,2, Shauna Callaghan1, Eimear Rutter1
1The National Maternity Hospital, Holles Street, Dublin, Ireland.
Summary
Virtual care pathways significantly improved gestational diabetes mellitus (GDM) management. Higher attendance in virtual GDM education led to faster treatment initiation, benefiting maternal and fetal health.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Digital Health
Background:
- Gestational diabetes mellitus (GDM) poses significant risks to maternal and fetal health.
- Technological advancements like virtual care offer new avenues for GDM management.
Purpose of the Study:
- To evaluate the impact of a virtual care pathway on GDM management outcomes.
- To compare clinical outcomes before and after implementing a virtual care pathway.
Main Methods:
- Retrospective analysis of clinical data from women with GDM.
- Comparison of outcomes between two time points: pre- and post-virtual care pathway implementation.
- Data collected from electronic hospital records.
Main Results:
- Increased attendance rates for virtual GDM education (99.4% in 2021 vs. 95.6% in 2019).
- Significantly faster access to GDM care and initiation of treatment in 2021.
- Study included 583 patients (227 in 2019, 356 in 2021).
Conclusions:
- Virtual GDM education pathways enhance patient engagement.
- Virtual care facilitates quicker initiation of pharmacological therapy for GDM.
- Digital health solutions show promise in improving GDM management.
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