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Rural and urban disparities in postpartum glucose screening rates.
Lynn E Glenn1, Thomas V Joshua1, Samantha Brener2
1College of Nursing, Augusta University, GA, USA.
Women'S Health (London, England)
|April 25, 2026
Summary
Rural women with gestational diabetes have significantly lower postpartum glucose screening rates compared to urban women. This highlights disparities in postpartum care and the need for improved access to preventive services in rural areas.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Endocrinology
Background:
- Postpartum glucose screening adherence is below 50% overall.
- Geographical disparities in screening rates for women with gestational diabetes are not well understood.
- Understanding rural vs. urban differences is crucial for targeted interventions.
Purpose of the Study:
- To compare postpartum glucose screening rates between rural and urban women with gestational diabetes.
- To evaluate the impact of maternity care transfer on postpartum adherence and screening.
Main Methods:
- Retrospective chart review of women diagnosed with gestational diabetes (January 2015 - October 2020).
- Classification of subjects into urban or rural residency groups.
- Collection of data on prenatal/postpartum visits, glucose testing, birthweight, complications, and demographics.
Main Results:
- Rural women (n=67) had lower postpartum glucose tests (M=0.30) than urban women (n=82, M=0.52) (p=0.03).
- Transferred rural patients had the lowest visits (M=1.00) and glucose tests (M=0.22).
- Transferred urban patients had higher visits (M=1.46) and glucose tests (M=0.29).
Conclusions:
- Rural women experience lower postpartum glucose screening rates, indicating significant healthcare disparities.
- Further research on continuity of care and transitions to primary care is needed.
- Healthcare providers must prioritize timely preventive care, especially glucose screening, for rural populations at high risk for type 2 diabetes.
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