Postpartum lifestyle modifications for women with gestational diabetes: A qualitative study

Krompa, Katerina; Sebbah, Simon; Baudry, Camille; Cosson, E.; Bihan, H.

doi:10.1016/j.ejogrb.2020.04.060

Cited by 6 publications

(18 citation statements)

References 30 publications

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“…Lack of awareness was a barrier. Some women believed GDM was ‘confined to pregnancy’ and were unaware of future risks 60,62,63,65,77 . For them, risk beyond the immediate postpartum period was not a concern 60,63,77 .…”

Section: Resultsmentioning

confidence: 99%

“…Some women believed GDM was ‘confined to pregnancy’ and were unaware of future risks. 60 , 62 , 63 , 65 , 77 For them, risk beyond the immediate postpartum period was not a concern. 60 , 63 , 77 Thus, ‘many reverted to previous diet habits … and did not engage in … prevention activities’.…”

Section: Resultsmentioning

confidence: 99%

“… 60 , 62 , 63 , 65 , 77 For them, risk beyond the immediate postpartum period was not a concern. 60 , 63 , 77 Thus, ‘many reverted to previous diet habits … and did not engage in … prevention activities’. 60 , 63 Some indicated insufficient knowledge of diet recommendations and glycaemic impact 69 , 71 , 73 , 78 : ‘I thought me just eating fruit was good, but it actually was… how much you eat, you know?’.…”

Section: Resultsmentioning

confidence: 99%

“…75 The communities also supported physical activities by 'painting these in a positive light'. 75 Conversely, some women reported little pragmatic support 62,65,73,76,84,85,88,89 or encouragement 68,72,75,77,85,86,88 : 'They have their own ways of doing things, and it kind of gets handed down to us, and it's hard to change'. 93 Migrant women, customarily supported by female relatives in the postpartum period in their home country, reported that their engagement in healthy behaviours was impaired by lack of support at home, and feelings of isolation and loneliness.…”

Section: Environmental Context and Resources (22 Studies; 91 Barriers...mentioning

confidence: 99%

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Barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior gestational diabetes: A systematic review and qualitative synthesis applying the theoretical domains framework

et al. 2022

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Aims Racial and ethnic disparities exist in gestational diabetes prevalence and risk of subsequent type 2 diabetes mellitus (T2DM). Postpartum engagement in healthy behaviours is recommended for prevention and early detection of T2DM, yet uptake is low among women from diverse cultural backgrounds. Greater understanding of factors impacting postpartum health behaviours is needed. Applying the Theoretical Domains Framework (TDF) and Capability, Opportunity, Motivation‐Behaviour (COM‐B) model, our aim was to synthesise barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior GDM and identify relevant intervention components. Methods Databases, reference lists and grey literature were searched from September 2017 to April 2021. Two reviewers screened articles independently against inclusion criteria and extracted data. Using an inductive–deductive model, themes were mapped to the TDF and COM‐B model. Results After screening 5148 citations and 139 full texts, we included 35 studies (N = 787 participants). The main ethnicities included Asian (43%), Indigenous (15%) and African (11%). Barriers and enablers focused on Capability (e.g. knowledge), Opportunity (e.g. competing demands, social support from family, friends and healthcare professionals, culturally appropriate education and resources) and Motivation (e.g. negative emotions, perceived consequences and necessity of health behaviours, social/cultural identity). Five relevant intervention functions are identified to link the barriers and enablers to evidence‐based recommendations for communications to support behaviour change. Conclusions We provide a conceptual model to inform recommendations regarding the development of messaging and interventions to support women from diverse cultural backgrounds in engaging in healthy behaviours to reduce risk of T2DM.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Environmental Context and Resources (22 Studies; 91 Barriers...mentioning

confidence: 99%

See 2 more Smart Citations

Barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior gestational diabetes: A systematic review and qualitative synthesis applying the theoretical domains framework

et al. 2022

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“…If no measures are taken to prevent the transition from prediabetes to diabetes, the number of diabetic patients in China will further increase. [ 9 – 11 ]…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety evaluation of acupuncture in the treatment of impaired glucose regulation

et al. 2021

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Background: Impaired of glucose regulation belongs to the stage of prediabetes, which is a state of glucose metabolism between diabetes and normal blood glucose. The prevalence of prediabetes in people over 20 years old in China is significantly higher than that in diabetic patients. If no measures are taken to prevent the transition from prediabetes to diabetes, the number of diabetic patients in China will further increase. This study conducted a meta-analysis of the effectiveness of acupuncture in the treatment of impaired glucose regulation by collecting relevant literatures. Methods: Nine electronic databases: PubMed, EMBASE, Cochrane library, Web of Science, Google Scholar, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Chinese Scientific and Journal Database, Wan Fang database, and 2 clinical trials register platforms: Chinese Clinical Trial Registry, ClinicalTrials.gov ( www.ClinicalTrials.gov/ ) will be searched for randomized clinical trails of acupuncture for impaired glucose regulation. The screening process will be developed by 2 independent reviewers, and meta-analysis will be performed with RevMan (V5.3.5) software. Results: This meta-analysis further confirmed the benefits of acupuncture in the treatment of impaired of glucose regulation. Conclusion: This study will provide a high-quality evidence of the efficacy and safety of acupuncture on patients with impaired glucose regulation. PROSPERO registration number: INPLASY202170058. Ethics and dissemination: This systematics review will evaluate the efficacy and safety of acupuncture in the treatment of impaired of glucose regulation. Since all the data included were published, the systematic review did not require ethical approval.

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Tracking of dietary patterns between pregnancy and 6 years post-pregnancy in a multiethnic Asian cohort: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) study

et al. 2021

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Postpartum lifestyle modifications for women with gestational diabetes: A qualitative study

Cited by 6 publications

References 30 publications

Barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior gestational diabetes: A systematic review and qualitative synthesis applying the theoretical domains framework

Barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior gestational diabetes: A systematic review and qualitative synthesis applying the theoretical domains framework

Efficacy and safety evaluation of acupuncture in the treatment of impaired glucose regulation

Tracking of dietary patterns between pregnancy and 6 years post-pregnancy in a multiethnic Asian cohort: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) study

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