A transformed pregnancy: the psychosocial consequences of gestational diabetes

Lawson, Erma Jean; Rajaram, Shireen S.

doi:10.1111/1467-9566.ep11347644

Cited by 69 publications

(75 citation statements)

References 66 publications

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“…Family mealtimes are important in many cultures, and as many ethnic diets are particularly carbohydrate-heavy, women continued to cook (and eat) the traditional meals for the family and were reluctant to be a nuisance, and hence also felt obliged to eat food which was prepared for them, similar findings have been reported in Persson et al2010, Razee et al2010& Evans & O'Brien, 2005. We and others (Tait Neufeld, 2014, Lawson & Rajaram, 1994 report mixed responses about the support provided from HCPs. While women were extremely grateful for the advice throughout their pregnancy, some felt that advice was not individualised or suitable for their ethnicity, particularly in terms of dietary advice (Bandyopadhyay et al2011).…”

Section: Interpretation Of Findingssupporting

confidence: 70%

“…Evans & O'Brien (2005) and Hjelm (2005) suggested women felt morally compelled to adhere to the regime recommended by their HCP believing it was their fault their baby's well-being was at risk and Lawson & Rajaram (1994) described women feeling like failures after being diagnosed with GDM. This highlights that members of the multidisciplinary diabetes care team need to be aware of the impact of GDM diagnosis on the individual and need to take the opportunity to educate and reassure the woman regarding treatment decisions and lifestyle choices in order to prevent possible anxiety and noncompliance.…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

“…This has been described elsewhere as 'from stun to gradual balance' (Persson et al2010) meaning women become familiar with their diabetes and have a greater ability to cope with the associated stress as treatment became part of their daily routine (Persson et al2010,Lawson & Rajaram, 1994 . Non-compliance was also reported; with a few women cheating on their diet and recording false blood glucose readings.…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

“…When discussing the support of family and friends, it was clear that some women feared becoming a social stigma (Lawson & Rajaram, 1994), particularly women from different ethnic backgrounds. Family mealtimes are important in many cultures, and as many ethnic diets are particularly carbohydrate-heavy, women continued to cook (and eat) the traditional meals for the family and were reluctant to be a nuisance, and hence also felt obliged to eat food which was prepared for them, similar findings have been reported in Persson et al2010, Razee et al2010& Evans & O'Brien, 2005.…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

“…While women were extremely grateful for the advice throughout their pregnancy, some felt that advice was not individualised or suitable for their ethnicity, particularly in terms of dietary advice (Bandyopadhyay et al2011). Some also reported that HCPs were unsympathetic at the time of diagnosis, and they simply stated the facts and recommendations as necessary, and did not take into consideration their emotional state (Lawson & Rajaram, 1994). Careful consideration of a woman's background and needs is vital to avoid them feeling patronised or alienated.…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

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Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study

et al. 2016

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General rights Copyright for the publications made accessible via the Queen's University Belfast Research Portal is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. 3 An increased knowledge of the needs and concerns of women with GDM would provide the multidisciplinary diabetes care team and other health care professionals (HCP's), including midwives, with a better understanding on how to support, encourage and educate women to manage their condition more effectively. Long term this could potentially improve pregnancy outcome, helping to reduce the future risk of type 2 diabetes in this population and subsequently pressure on healthcare systems. The aim of this study is therefore to explore the concerns, needs and knowledge of women diagnosed with GDM. Research design and methodsThis qualitative study used focus group methodology, to encourage the generation of ideas and expression of shared experiences and common viewpoints within a group of peers. Eligible participants were identified by the Diabetes Care Team at three National HealthService (NHS) hospitals in the United Kingdom. Women were given an invitation letter at a routine clinic appointment, and those interested in participating completed a permission slip, which allowed the researcher to contact them, and invite them to attend a focus group.Women aged 18-45 years and currently pregnant with GDM, or with a history of GDM in a recent pregnancy (up to 12 months post-natal) were eligible to participate. Those unable to adequately understand verbal explanations in English or who had special communication needs were excluded.Eighty-one women expressed an interest in attending a focus group. Sessions were scheduled at various times and venues in an attempt to suit women and their working and family lives.From this number 38 were enrolled on the study. The remaining women who had expressed an interest in participating were either not able to make it to the scheduled focus group or were no longer contactable. Of the 38 enrolled, five were unwell or in hospital on the day, two delivered before the scheduled session and twelve did not attend the focus group. Focus group discussion topicsThe following topic areas were discussed with the women: 1) current knowledge of GDM; 2)anxiety following the diagnosis of GDM, and whether this changed overtime; 3) understanding and managing GDM and 4) the future impact of GDM. Descriptive qualitative analys...

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Section: Interpretation Of Findingssupporting

confidence: 70%