Self-management education among women with pre-existing diabetes in pregnancy: A scoping review

Sushko, Katelyn; Menezes, Holly Tschirhart; Strachan, Patricia H.; Butt, Michelle; Sherifali, Diana

doi:10.1016/j.ijnurstu.2021.103883

Cited by 16 publications

(14 citation statements)

References 43 publications

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“…In this study, the factor involved pregnant women's daily life behaviour, self-protection behaviour, and compliance behaviour. Self-management during pregnancy was a crucial part of birth preparedness since it could help women maintain a better physical and mental state for childbirth and improve pregnancy outcomes [ 39 , 40 ]. Previous studies also proved that good self-management during pregnancy could effectively prevent and control health risk factors, reduce pregnancy complications and reduce the incidence of adverse pregnancy [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Childbirth Readiness Scale (CRS): instrument development and psychometric properties

Yuan

Zhao

Zeng

et al. 2022

BMC Pregnancy Childbirth

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Background Childbirth preparation plays an important role in reducing maternal mortality and improving women’s childbirth experience. Evaluating childbirth readiness levels before and after interventions provides a basis for formulating more targeted and effective interventions. However, existing tools only assess partial childbirth preparation or have limited evidence of reliability and validity. The aim of this study was thus to develop a new instrument for use during the third trimester to comprehensively assess the readiness level of pregnant women, and test the scale’s psychometric properties. Methods The scale was developed through exploratory mixed methods including qualitative and quantitative phases. A literature review and in-depth semi-structured interviews were utilized to identify the scale items. A Delphi expert consultation evaluated the content validity. Psychometric testing was conducted in a convenience sample of 731 pregnant women in the third trimester (recruited from 3 tertiary hospitals in Hubei province in China). Item analysis was used to screen items; exploratory factor analysis was performed to extract factors; confirmatory factor analysis was performed to evaluate fit on the factor structures. Results The final scale consisted of four dimensions and 18 items that explained 65.8% of the total variance. Confirmative factor analysis (CFA) model showed that the 4-factor model fits the data well. The total Cronbach alpha coefficient of the total scale and 4 factors was 0.935 and 0.853–0.914. The split-half reliability was 0.880. The dimensions comprised “Self-management”, “Information literacy”, “Birth confidence” and “Birth plan”. Conclusions The childbirth readiness scale we developed has good reliability and validity, and can be used to comprehensively assess the readiness level of pregnant women. In addition to understanding the overall level of women’s childbirth readiness, using subscale scores, improvements can be targeted to specific areas of the preparation for childbirth, to improve the efficiency of the intervention.

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Section: Discussionmentioning

confidence: 99%

Childbirth Readiness Scale (CRS): instrument development and psychometric properties

Yuan

Zhao

Zeng

et al. 2022

BMC Pregnancy Childbirth

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“…Self-management of diabetes in pregnancy has also been explored. In pregnant women with type 1 and type 2 diabetes, self-monitoring of blood glucose is common6 and self-management programmes in women with gestational diabetes are also becoming more commonplace. 3 7 In the general population, self-management has been explored in numerous chronic conditions; in particular hypertension and diabetes, where there is a large body of research around understanding the patient experience 8 9 10.…”

Section: Self-managementmentioning

confidence: 99%

Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review

et al. 2022

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ObjectiveThis systematic review examines the qualitative literature on women’s experiences of self-managing chronic conditions in pregnancy.DesignSystematic review of qualitative literature. Searches were performed in PubMed and CINAHL from inception to February 2021. Critical interpretive synthesis informed the coding framework and the analysis of the data. The Burden of Treatment theory emerged during the initial analysis as having the most synergy with the included literature, themes were refined to consider key concepts from this theory.ParticipantsPregnant women who are self-managing a chronic condition.ResultsA total of 2695 articles were screened and 25 were reviewed in detail. All 16 included studies concerned diabetes self-management in pregnancy. Common themes coalesced around motivations for, and barriers to, self-management. Women self-managed primarily for the health of their baby. Barriers identified were anxiety, lack of understanding and a lack of support from families and healthcare professionals.ConclusionsPregnant women have different motivating factors for self-management than the general population and further research on a range of self-management of chronic conditions in pregnancy is needed.PROSPERO registration numberCRD42019136681.

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“…Food diaries or records that patients make periodically are useful in identifying foods or situations that affect glycemia. Patients and nutritionists can develop a strategy to prevent hyperglycemia and hypoglycemia by choosing more adequate food, portions, or meals during the day (19).…”

Section: Exercise and Dietmentioning

confidence: 99%

Nutrition in pregnancy with diabetes mellitus

Todorović

Dugalić

Macura

et al. 2022

Sanamed

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The nutritional needs of diabetic pregnancies are different from normal pregnancies. Differences in nutritional recommendations can also be seen between pregnant women who are using and who are not using insulin therapy. In this literature review, recommendations for different meal proportions of carbohydrates, proteins, and fats in the diets of pregnant women with diabetes mellitus are listed. Different meal plans were also addressed in this group of patients. The role of exercise in the management of diabetes in pregnancy is undeniable and different approaches found in the literature are presented.

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Self-management education among women with pre-existing diabetes in pregnancy: A scoping review

Cited by 16 publications

References 43 publications

Childbirth Readiness Scale (CRS): instrument development and psychometric properties

Childbirth Readiness Scale (CRS): instrument development and psychometric properties

Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review

Nutrition in pregnancy with diabetes mellitus

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