An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment

Devsam, Bianca; Bogossian, Fiona; Peacock, Ann

doi:10.1016/j.wombi.2012.12.003

Cited by 88 publications

(105 citation statements)

References 17 publications

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“…While prior survey-based studies in the United States and Australia have shown that few women with GDM perceive high risk for T2DM [14,37], findings from qualitative studies have been more mixed; some of the variability may relate to the population studied and proximity to delivery [16,17,38]. Similar to prior studies, women in our study linked their risk for T2DM to presence or absence of family history of T2DM, their weight status, and current health habits [14,39].…”

Section: Discussionsupporting

confidence: 70%

“…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].…”

Section: Discussionmentioning

confidence: 61%

“…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%

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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

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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.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 61%

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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

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“…This implies a high burden for the women and additional costs for the healthcare system. While previous empirical studies focused on the experience of women having GDM (12), experience of midwives counseling women with GDM (13), and patients' attitudes towards the screening (14), this study is the first to deal with the daily practice of GDM screening from the gynecologists' point of view. The point in time for this study was ideal for two reasons.…”

Section: Discussionmentioning

confidence: 99%

German gynecologists’ experience with a universal screening for gestational diabetes mellitus in daily practice: A qualitative study

Diehl

Schneider

Böck

et al. 2016

J Turkish German Gynecol Assoc

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Objective:In March 2012, a universal screening for gestational diabetes mellitus (GDM) was implemented in Germany. Despite international recommendations, a two-step approach was introduced [step 1: 50-g glucose challenge test (GCT); if GCT is suspicious, step 2 follows: 75-g oral glucose tolerance test with (OGTT)]. This qualitative study aimed at examining how gynecologists administer the screening for GDM in daily practice, whether they perceive any difficulties, and whether they have suggestions for improvement. Material and Methods:Seventeen resident gynecologists were interviewed face-to-face in semi-structured interviews. The interviews were recorded, transcribed verbatim, coded, and analyzed using qualitative content techniques. Results:We revealed differences in the screening administration. Three gynecologists directly offered the second step of the two-step screening (OGTT) instead of completing the first step before offering the second step. These gynecologists only conducted GCT if the woman (with statutory health insurance) was not willing to pay for OGTT. Critique concerns the late introduction of billing codes, lack of information from official institutions, unavailability of readymade syrup with 50-g glucose, and lack of information material for pregnant women. Conclusion:Our results reflect that not all gynecologists appear to conduct the screening conforming to the maternity directive. However, this has to be validated in larger quantitative surveys. That some gynecologists directly conducted OGTT may fuel the discussion regarding the screening procedure. The two-step approach was already highly controversial at the time of introducing the screening because national and international organizations recommend a one-step approach. Therefore, our results are also relevant for other countries who have implemented a two-step screening and for countries planning to implement a screening. (J Turk Ger Gynecol Assoc 2016; 17: 10-5) Keywords: Gestational diabetes mellitus, glucose tolerance test, prenatal care, pregnancy, qualitative research Received: 05 November, 2015 Accepted: 18 January, 2016 German gynecologists' experience with a universal screening for gestational diabetes mellitus in daily practice: A qualitative study

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“…Women with GDM emphasise the need for individually tailored and culturally appropriate information [17]. Current care for women with GDM in Norway includes teaching women to take and record their blood glucose levels and providing them with verbal health and nutrition information with or without accompanying written information.…”

Section: Introductionmentioning

confidence: 99%

Health Care Professionals� Attitudes Toward, and Experiences of Using, a Culture-Sensitive Smartphone App for Women with Gestational Diabetes Mellitus: Qualitative Study (Preprint)

Garnweidner-Holme¹,

Andersen²,

Sando³

et al. 2017

Preprint

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Background: The increase in women with gestational diabetes mellitus (GDM) provides new challenges for health professionals. Health professionals can find it challenging to provide information about the management of GDM to women with different ethnic backgrounds. mHealth may constitute a useful tool for blood sugar control and the care process. However, little is known about health professionals' experiences and attitudes towards the use of mHealth for women with GDM.

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An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment

Cited by 88 publications

References 17 publications

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

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

German gynecologists’ experience with a universal screening for gestational diabetes mellitus in daily practice: A qualitative study

Health Care Professionals� Attitudes Toward, and Experiences of Using, a Culture-Sensitive Smartphone App for Women with Gestational Diabetes Mellitus: Qualitative Study (Preprint)

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