A Qualitative Study of Perceived Barriers to Management of Diabetes Among Women with a History of Diabetes During Pregnancy

Abstract

The barriers to achieving glycemic control during pregnancy identified in this study could help inform future efforts to assist women in achieving optimal prepregnancy and intrapregnancy glycemic control.

Preconception care for women with type 1 or type 2 diabetes mellitus: a mixed-methods study exploring uptake of preconception care

“…The full citations of the studies that were excluded from the review are given in Appendix 3. Of the 18 studies that were included (which are described in detail in Table 2), 13 [26][27][28][30][31][32][33][34]37,38,40,42,43 addressed the experiences and perceptions of women only, four 29,35,36,39 addressed the experiences and perceptions of healthcare practitioners only and one study 41 addressed the experiences and perceptions of women and practitioners. It is of note that there are relatively few studies that have explored the views of practitioners responsible for providing care to women with diabetes mellitus in pregnancy.…”

“…It is of note that there are relatively few studies that have explored the views of practitioners responsible for providing care to women with diabetes mellitus in pregnancy. The largest majority of studies (n = 9) 30,33,34,36,37,[40][41][42][43] were based in a UK context, six [27][28][29]31,35,39 were based in the USA and one study each was based in Australia, 32 Ireland 38 and Sweden. 26 The study based in Australia 32 is distinct because it focused specifically on the experiences of women living in rural and relatively isolated communities.…”

“…26 The study based in Australia 32 is distinct because it focused specifically on the experiences of women living in rural and relatively isolated communities. Of the 14 studies that addressed the experiences or perceptions of women, eight 27,28,31,33,37,38,41,42 included both women with T1DM and those with T2DM and six 26,30,32,34,40,43 included only women with T1DM. There were no studies that focused solely on the experiences of women with T2DM.…”

“…The study that recruited from primary care did so in order to recruit general practitioners (GPs) to the study. Six studies [27][28][29]32,35,39 were located in other settings, such as the community or online, or drew on alternative methods of recruitment. Methods of data collection varied, but 14 [27][28][29][30]32,[34][35][36][37][38][39][40]42,43 out of the 18 studies used a single method, whereas the remaining four studies used mixed methods.…”

“…Six studies [27][28][29]32,35,39 were located in other settings, such as the community or online, or drew on alternative methods of recruitment. Methods of data collection varied, but 14 [27][28][29][30]32,[34][35][36][37][38][39][40]42,43 out of the 18 studies used a single method, whereas the remaining four studies used mixed methods. 26,31,33,41 Interviews were the most highly used method of data collection (n = 10) 26,[30][31][32][33][34]36,37,40,41 followed by focus groups (n = 7), [26][27][28][29]33,35,42 questionnaires (n = 3), 31,39,41 analysis of records (n = 2) 31,41 and participative workshops (n = 1).…”