Prenatal care satisfaction: perception of caregivers with diabetes mellitus

Abstract

Objective: to understand the satisfaction of pregnant women with diabetes who took insulin during pregnancy and prenatal care performed through outpatient and inpatient follow-up. Method: a qualitative approach with analysis of 30 pregnant women who underwent prenatal care and participated in a clinical trial study carried out by the research The data were collected through interviews and analyzed from content analysis. Results: from the category Satisfaction, the following subcategories emerged: facilities and difficulties faced in prenatal care performed through outpatient or inpatient follow-up, demonstrating that the pregnant women were satisfied with the prenatal care offered regardless of the type of followup. Conclusion: there was satisfaction in both care, but in outpatient care some structural, technical and administrative difficulties were identified, requiring reassessment, in order to guarantee service agility. RESUMOObjetivo: compreender a satisfação das gestantes portadoras de diabetes que utilizaram insulina no período gestacional durante a assistência pré-natal realizada por acompanhamento ambulatorial e hospitalar. Método: abordagem qualitativa, com análise de 30 gestantes que faziam acompanhamento pré-natal e participaram de um estudo de ensaio clínico realizado pelo grupo de pesquisa do Centro de Investigação do Diabetes Perinatal do Hospital das Clínicas da Faculdade de Medicina de Botucatu. Os dados foram coletados por meio de entrevista, e analisados a partir da análise de conteúdo. Resultados: da categoria Satisfação, constituiu-se a subcategoria: facilidades e dificuldades encontradas com a assistência pré-natal realizada por acompanhamento ambulatorial ou hospitalar demonstrando que as gestantes ficaram satisfeitas com a assistência pré-natal oferecida, independentemente do tipo de acompanhamento. Conclusão: houve satisfação em ambos os atendimentos, porém, no atendimento ambulatorial, dificuldades de ordem estrutural, técnica e administrativa foram identificadas, necessitando de reavaliação, a fim de garantir agilidade do serviço. RESUMENObjetivo: comprender la satisfacción de las gestantes portadoras de diabetes que utilizaron insulina en el período gestacional, durante la asistencia prenatal realizada por acompañamiento ambulatorial y hospitalario. Método: abordaje cualitativo, con análisis de 30 gestantes que realizaban seguimiento prenatal y participar en un estudio de ensayo clínico realizado por el grupo de investigación fueron recolectados por medio de entrevistas y analizados a partir del análisis de contenido. Resultados: de la categoría Satisfacción, se constituyen las subcategorías: facilidades y dificultades encontradas con la asistencia prenatal realizada por acompañamiento ambulatorial o hospitalario, demostrando que las gestantes quedaron satisfechas con la asistencia prenatal ofrecida, independientemente del tipo de seguimiento. Conclusión: hubo satisfacción en ambos atendimientos, pero en la atención ambulatoria algunas dificultades de orden estructural, técnico y admini...

A scoping review of gestational diabetes mellitus healthcare: experiences of care reported by pregnant women internationally

“…Twenty studies ( n = 20, 35%) included findings and discussion about women’s experiences of monitoring and of those it was seen as being negative ( n = 14, n = 70%), both positive and negative ( n = 5, 25%) and positive ( n = 1, n = 5%). In the one study that reported positive experiences only, a participant reported that she thought it was good “they are monitoring us all the time” [ 30 ]. Studies reporting negative experiences with monitoring had participants citing reasons such as feeling over-scrutinised [ 65 ].…”

“…2 Included studies published over time relatively small number of high-income countries, with the top six countries for research on women's experiences of GDM healthcare being Australia (n = 11), Canada (n = 8), Sweden (n = 7), the United States (n = 6), the United Kingdom (n = 4) and China (n = 4). The remaining studies were spread across a number of countries, largely one study per setting: Austria [29], Brazil [30], Denmark [31], Ghana [32], India [33], Indonesia [34], Iran [35,36], Malaysia [37], New Zealand [38,39], Norway [40], Singapore [41], South Africa [42,43], Vietnam [44], Zimbabwe [45] (see Fig. 3).…”