Australian women's experiences of living with gestational diabetes

Morrison, Melinda; Lowe, Julia; Collins, Claire

doi:10.1016/j.wombi.2013.10.001

Cited by 73 publications

(108 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While it is expected that fear related to a new diagnosis will decrease over time as individuals develop new skills to manage a new diagnosis [17], the degree to which women in our study minimized the diagnosis was surprising. Women's minimization of the diagnosis of GDM have only been raised in one prior study, conducted among women in Australia, in which women based such beliefs on the evidence that their test results were borderline and their blood sugars remained normal on subsequent evaluation despite unchanged diet [20]. It is possible that we may have seen more frequent minimization of GDM in our study population as the use of a more sensitive screening test (following IADPSG guidelines) for GDM led to identification of a larger group of women with relatively mild (dietcontrolled) disease [40].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

Tang

Foster

Pumarino

et al. 2014

Matern Child Health J

View full text Add to dashboard Cite

Women with gestational diabetes (GDM) have a fivefold higher risk of developing type 2 diabetes (T2DM). Furthermore, Hispanic and African-American women are disproportionately affected by GDM, but their views on prevention of T2DM after gestational diabetes are largely unknown. We conducted semi-structured interviews with 23 women (8 Hispanic, 8 African-American, 7 non-Hispanic White) from two academic clinics in Chicago, IL. Interview questions elicited perspectives on prevention of T2DM; the interview protocol was developed based on the Health Belief Model. Two investigators applied template analysis to identify emergent themes. Women conceptualized risk for T2DM based on family history, health behaviors, and personal history of GDM. A subgroup of women expressed uncertainty about how GDM influences risk for T2DM. Women who described a strong link between GDM and T2DM often viewed the diagnosis as a cue to action for behavior change. T2DM was widely viewed as a severe condition, and desire to avoid T2DM was an important motivator for behavior change. Children represented both a key motivator and critical barrier to behavior change. Women viewed preventive care as important to alert them to potential health concerns. Identified themes were congruent across racial/ethnic groups. Diagnosis with GDM presents a potent opportunity for engaging women in behavior change. To fully harness the potential influence of this diagnosis, healthcare providers should more clearly link the diagnosis of GDM with risk for future T2DM, leverage women's focus on their children to motivate behavior change, and provide support with behavior change during healthcare visits in the postpartum period and beyond.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Although several qualitative studies have examined how postpartum women interpret the impact of GDM on their future health, most of these studies were conducted outside of the United States [16][17][18][19][20]. Few studies have included African-American and Hispanic women [15].…”

mentioning

confidence: 99%

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

Tang

Foster

Pumarino

et al. 2014

Matern Child Health J

View full text Add to dashboard Cite

show abstract

“…There is few literature that discuss relations among pica, GDM and psychological factors, such as anxiety, stress, depression and coping strategies (Araújo et al, 2013;Ayeta et al, 2014;Morrison et al, 2014;Nicklas et al, 2013;Nolan et al, 2011;Silva et al, 2004). Our results suggest that the diagnosis of GDM can be related with anxiety, depression and stress in pregnant women.…”

Section: Discussionmentioning

confidence: 48%

“…These risks may cause an experience of psychological suffering for pregnants due to a signifi cant impact of this diagnosis (Araújo, Pessoa, Damasceno, & Zanetti, 2013). In addition, omen with GDM are more vulnerable to show depression (Nicklas et al, 2013) and anxiety (Morrison, Lowe, & Collins, 2014) symptoms; as well as to develop type 2 diabetes at the postpartum (Morrison et al, 2014;Nolan, McCrone, & Chertok, 2011). All of this results in unfavorable conditions for the development of mother-infant dyad, affecting the emotional bond between the woman, her baby and family (Quevedo, Lopes, & Lefevre, 2006;Silva et al, 2004).…”

Section: Pica En El Embarazo Y Aspectos Psicologicos Relacionados Resmentioning

confidence: 99%

Pica in the Pregnancy and Related Psychological Aspects

Cunha¹,

Patricio²,

Akerman³

et al. 2017

Temas Psicol.

View full text Add to dashboard Cite

Based on a descriptive and exploratory research design, this study aimed to evaluate emotional (sings of stress, anxiety and depression) and coping indicators in seven pregnant women with diabetes and pica reporting practices. The pica reporting practices in their current pregnancies were identifi ed before they answered the following instruments for psychological evaluation: (a) Inventory of signs and symptoms of stress of Lipp (ISSL), to evaluate stress; (b) BECK Scales, BAI and BDI Inventory, to evaluate anxiety and depression; (c) Scales of Ways of Coping (EMEP), to identify coping strategies to deal with stress; (d) an Interview Guide created for this study. The pregnant women were interviewed individually and their reports were analyzed into macro-categories by the Bardin´s methodology. Indicators of stress, anxiety and depression were found in all pregnant women, whose most reported practice was pagofagia (30.8%) and fruit with salt (30.8%). The verbal report revealed that all women had a feeling of satisfaction after the practice of pica. Given that the associations between this eating disorder and unfavorable outcomes, it is important to investigate the pica in order to propose a more effective prenatal care in improving the health of the mother-child dyad.

show abstract

“…Research from other countries shows that women perceive that they are not receiving the follow-up care and support they need following GDM [21,22], and often feel abandoned by the health care service following a GDM pregnancy [23][24][25]. Indeed, primary care physician attitudes, knowledge and beliefs about GDM have been shown to contribute to suboptimal post partum care of women with GDM [26].…”

Section: Discussionmentioning

confidence: 99%