Postnatal experiences, knowledge and perceptions of women with gestational diabetes

Eades, Claire E; Evans, Josie

doi:10.1111/dme.13580

Cited by 27 publications

(47 citation statements)

References 14 publications

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“…This demonstrates a seemingly mutually beneficial relationship through which the women received motivation to eat healthy and be more physically active, while modelling and engaging children in these behaviours. Motivation for behaviour change due to concern for their child's health was also reflected in a recent study that found women made dietary and physical activity changes to protect the health of their unborn child (Eades et al, 2018). Thus, there may be some merit in finding ways to include children in behaviour change initiatives, which might alleviate the barrier of childcare, and promote a healthier lifestyle for both parties (Rosal et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Women’s experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy

Ingstrup

Wozniak

Mathe

et al. 2019

Health Psychology and Behavioral Medicine

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Purpose: Women who are diagnosed with gestational diabetes mellitus have an increased risk of developing type 2 diabetes, but most receive little guidance regarding disease prevention. This study examined the role and usefulness of social support, including peer counselling in facilitating behaviour change as a part of a healthy eating and physical activity intervention among women with a previous gestational diabetes mellitus pregnancy. Methods: We used a qualitative descriptive approach to investigate participants' experiences with the social support they received during the intervention. We used purposeful sampling and invited women and peer counsellors to participate in semi-structured interviews. Data were analyzed using content analysis. Results: We interviewed nine women and two peer counsellors. Participants received emotional, appraisal, and informational types of social support from the peer counsellor and exercise specialist that they reported as useful. Additionally, participants' received informal emotional and instrumental support from family, friends, and colleagues that they found useful in supporting behaviour change. Conclusions: Different types of social support are important to encourage behaviour change. These findings provide insight into the types of social support women with previous gestational diabetes mellitus find useful, in addition to practical ways that social support can be incorporated into future interventions.

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Section: Discussionmentioning

confidence: 99%

Women’s experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy

Ingstrup

Wozniak

Mathe

et al. 2019

Health Psychology and Behavioral Medicine

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show abstract

“…The studies reflected a variety of sampling methods and data collection methods. For example, interviews were conducted in 34 studies [10, 12, 13, 25, 27, 28, 30-32, 34-36, 38-50, 52-58, 60, 61], focus group methods were used in three [19,32,37], and interviews and focus groups were used in two studies [29,51]. Two studies used a mixed method approach [26,59].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…'[58] 'GDM was a hidden blessing for me... GDM can go away after you have the baby but diabetes is not so easily fixable …I am much more aware of [the] need to prevent it. '[32] 'It's also good with my diabetes diet I ended up weighing pretty much the same at the end of the pregnancy as I did at the beginning. '[31]…”

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confidence: 99%

Women’s experiences of a diagnosis of gestational diabetes mellitus: a systematic review

Craig

Sims

Glasziou

et al. 2020

BMC Pregnancy Childbirth

100

101

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Background: Gestational diabetes mellitus (GDM)-a transitory form of diabetes induced by pregnancy-has potentially important short and long-term health consequences for both the mother and her baby. There is no globally agreed definition of GDM, but definition changes have increased the incidence in some countries in recent years, with some research suggesting minimal clinical improvement in outcomes. The aim of this qualitative systematic review was to identify the psychosocial experiences a diagnosis of GDM has on women during pregnancy and the postpartum period. Methods: We searched CINAHL, EMBASE, MEDLINE and PsycINFO databases for studies that provided qualitative data on the psychosocial experiences of a diagnosis of GDM on women across any stage of pregnancy and/or the postpartum period. We appraised the methodological quality of the included studies using the Critical Appraisal Skills Programme Checklist for Qualitative Studies and used thematic analysis to synthesis the data. Results: Of 840 studies identified, 41 studies of diverse populations met the selection criteria. The synthesis revealed eight key themes: initial psychological impact; communicating the diagnosis; knowledge of GDM; risk perception; management of GDM; burden of GDM; social support; and gaining control. The identified benefits of a GDM diagnosis were largely behavioural and included an opportunity to make healthy eating changes. The identified harms were emotional, financial and cultural. Women commented about the added responsibility (eating regimens, appointments), financial constraints (expensive food, medical bills) and conflicts with their cultural practices (alternative eating, lack of information about traditional food). Some women reported living in fear of risking the health of their baby and conducted extreme behaviours such as purging and starving themselves. Conclusion: A diagnosis of GDM has wide reaching consequences that are common to a diverse group of women. Threshold cutoffs for blood glucose levels have been determined using the risk of physiological harms to mother and baby. It may also be advantageous to consider the harms and benefits from a psychosocial and a physiological perspective. This may avoid unnecessary burden to an already vulnerable population.

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“…The TPB is widely used to explain the associations between intentions to eat a between healthy diet and adherence behavior [ 17 , 18 ]. Eades and colleagues conducted a study using semi-structured interviews according to the TPB [ 19 ]. Their finding revealed that changing the diet was the first choice related to lifestyle changes during and after pregnancy among women with GDM; this practice was most commonly motivated by instrumental attitude, such as concern for the fetus and the desire to avoid taking medication to treat GDM.…”

Section: Introductionmentioning

confidence: 99%

Cultural Adaptation, Validation, and Primary Application of a Questionnaire to Assess Intentions to Eat Low-Glycemic Index Foods among Rural Chinese Women

Lin

et al. 2020

IJERPH

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Different lines of evidence indicate that knowledge of low-glycemic index (GI) foods and the practice of eating them play important roles in blood glucose management and preventing T2DM in women with prior gestational diabetes mellitus (GDM). According to the theory of planned behavior (TPB), intention is a critical factor in complying with health-related behaviors. However, an instrument for assessing the intention to eat low-GI foods is lacking in China. We aimed to (1) adapt and validate a Chinese version of the intentions to eat low-GI foods questionnaire (CIELQ) and (2) apply the CIELQ among rural Chinese women to explore the associations between CIELQ scores and glycemic status. A cross-sectional study was conducted on 417 nondiabetic, nonpregnant participants with a history of GDM in Hunan, China. After cultural adaptation and validation, the CIELQ was applied in a target population. Glycemic status, anthropometric variables, dietary intake, and physical activity were measured; a self-developed, standard questionnaire was applied to collect relevant information. The CIELQ showed good internal consistency; model fitness was acceptable based on the confirmatory factor analysis results. Awareness of the glycemic index was low among the study population. TPB factors were found to be associated with each other; education level and parents’ diabetes history were associated with specific factors. The score for instrumental attitude showed a positive association with the risk for a high level of the 2-h 75-g oral glucose tolerance test (odds ratio, OR = 1.330), while the score for perceived behavior control (PBC) showed a negative association with the risk for a high level (OR = 0.793). The CIELQ was determined to be a valid instrument for assessing the intention to eat a low-GI diet among the study population. The awareness of the GI was poor among the study population. The score for instrumental attitude showed a positive association with the risk of a high level on the 2-h 75-g oral glucose tolerance test (OGTT), and the score for PBC showed a negative association with the risk for a high level on OGTT.

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Postnatal experiences, knowledge and perceptions of women with gestational diabetes

Cited by 27 publications

References 14 publications

Women’s experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy

Women’s experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy

Women’s experiences of a diagnosis of gestational diabetes mellitus: a systematic review

Cultural Adaptation, Validation, and Primary Application of a Questionnaire to Assess Intentions to Eat Low-Glycemic Index Foods among Rural Chinese Women

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