The Green Room: A Podcast from Obstetrics & Gynecology November 2024: Obstetrics Part #2
Oct 17, 2024
Ebony Carter, a reproductive health equity researcher and associate professor at UNC School of Medicine, shares her expertise on diabetes in pregnancy. She discusses the benefits of group prenatal care over traditional methods, highlighting improved postpartum engagement and disparities in outcomes. The conversation explores the challenges of transitioning to virtual care during the pandemic and the importance of adapting practices based on patient needs. Carter's insights shed light on the evolving landscape of prenatal care and the necessity for evidence-based approaches.
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HbA1c Stratifies Fetal Echo Need
- Universal fetal echocardiography is cost-effective for patients with first trimester HbA1c ≥9%.
- For HbA1c <6.5% a normal detailed anatomy scan likely removes need for fetal echo.
Shared Decision For Mid-Range HbA1c
- For patients with HbA1c 6.5–8.9% individual context should drive testing decisions.
- Choose fetal echo when access is easy, otherwise rely on a detailed anatomy ultrasound.
Access And Cost Shape Testing Policy
- Geography and cost limit access to fetal echocardiography for many patients.
- Cost-effectiveness can identify where expensive testing may be unnecessary without harming outcomes.