Health Behaviours of Postpartum Women with a History of Gestational Diabetes

Evans, Marilyn; Patrick, Linda J.; Wellington, Christine M.

doi:10.1016/s1499-2671(10)43011-7

Cited by 33 publications

(39 citation statements)

References 25 publications

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“…Specialist clinics such as DIPS, should be required to do so, otherwise it this is unlikely to happen [26]. Provision of postnatal lifestyle information at the last antenatal visit at the DIPS clinic and better information sharing between different tiers of health system such as the DIPS, the GPs, the midwives and the MACH nurses may improve the compliance issues with the longterm healthy lifestyle for these high risk women.…”

Section: Discussionmentioning

confidence: 99%

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

et al. 2017

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms 1 Barriers to a healthy lifestyle post gestational-diabetes: an Australian qualitative study. 2 AbstractBackground: Overseas-born-women from certain ethnicities are at high risk of type-2 diabetes and related metabolic disorders. This study explored the barriers and facilitators to long-term healthy lifestyle recommendations among Australian-born and overseas-born-women who attended health promotion sessions at a tertiary Australian Hospital for gestational diabetes 3-4 years previously.Method; Face-to-face semi-structured interviews were conducted. Data were analyzed to identify major themes and the differing experiences of both groups of women. Conclusion.A better understanding of the barriers to healthy lifestyle by women in their everyday lives will assist in the development of culturally appropriate health promotion guidelines and strategies. Constant un-fragmented postnatal engagement by the specialised diabetes clinics and primary health care services is crucial to sustain the healthy lifestyle in the long-term for women with previous gestational-diabetes.

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Section: Discussionmentioning

confidence: 99%

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

et al. 2017

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“…Qualitative methodology has been used in studies about the postpartum period, however those studies have looked at isolated issues such as pelvic problems [10], postpartum depression [11,12], specific populations [13,14] or health behaviors [15,16].…”

Section: Discussionmentioning

confidence: 99%

Recovery after childbirth: A qualitative study of postpartum women

Baghirzada¹,

Ibrahimov²,

Macarthur³

2018

Clin Obstet Gynecol Reprod Med

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Research in the postpartum period has been largely quantitative and focused on obstetric dysfunction, major depression and impact of epidural analgesia. The purpose of this study was to describe women's perception of postpartum pain and identify specific impediments to better pain management. AbstractIntroduction: During the postpartum period women do not usually have health issues reviewed until 6 weeks. The purpose of this qualitative study was to examine women's experiences in the postpartum period and identify specific impediments to better pain management.

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“…Given that women in our study planned to seek preventive care and expected providers to alert them to potential health concerns, healthcare settings appear to be a suitable channel through which to engage women in preventive behaviors. Prior studies conducted in England, Canada, and Australia have described that women felt abandoned after delivery due to the transition from close monitoring to minimal contact in the postpartum period [16,41,44]. Ideally, healthcare systems might strengthen their role in these areas by developing protocols to ensure women have or are referred to a PCP, and that appropriate handoff (i.e., from OB/GYN to a PCP) occurs after delivery.…”

Section: Discussionmentioning

confidence: 99%

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

Tang

Foster

Pumarino

et al. 2014

Matern Child Health J

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Women with gestational diabetes (GDM) have a fivefold higher risk of developing type 2 diabetes (T2DM). Furthermore, Hispanic and African-American women are disproportionately affected by GDM, but their views on prevention of T2DM after gestational diabetes are largely unknown. We conducted semi-structured interviews with 23 women (8 Hispanic, 8 African-American, 7 non-Hispanic White) from two academic clinics in Chicago, IL. Interview questions elicited perspectives on prevention of T2DM; the interview protocol was developed based on the Health Belief Model. Two investigators applied template analysis to identify emergent themes. Women conceptualized risk for T2DM based on family history, health behaviors, and personal history of GDM. A subgroup of women expressed uncertainty about how GDM influences risk for T2DM. Women who described a strong link between GDM and T2DM often viewed the diagnosis as a cue to action for behavior change. T2DM was widely viewed as a severe condition, and desire to avoid T2DM was an important motivator for behavior change. Children represented both a key motivator and critical barrier to behavior change. Women viewed preventive care as important to alert them to potential health concerns. Identified themes were congruent across racial/ethnic groups. Diagnosis with GDM presents a potent opportunity for engaging women in behavior change. To fully harness the potential influence of this diagnosis, healthcare providers should more clearly link the diagnosis of GDM with risk for future T2DM, leverage women's focus on their children to motivate behavior change, and provide support with behavior change during healthcare visits in the postpartum period and beyond.

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Health Behaviours of Postpartum Women with a History of Gestational Diabetes

Cited by 33 publications

References 25 publications

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

Recovery after childbirth: A qualitative study of postpartum women

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

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