Midwives’ and Diabetes Nurses’ Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study (original) (raw)
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Nurses’ Role in Taking Care of Gestational Diabetes Mellitus Patients: A Qualitative Study
Jurnal Ners, 2021
Introduction: Gestational Diabetes Mellitus (GDM) is becoming one of the major public health problems. It is important to screen the GDM and for the case to be managed by nurses. Nurses are needed to care for pregnant women with GDM, and the work experience of nurses is directly related to the assistance and quality of care provided. However, nurses face some barriers in understanding the GDM and providing good management thereof. This study explored the experiences of nurses of caring for GDM patients.Methods: This study was a phenomenological approach qualitative research. Participants were 10 nurses who provide care for pregnant women with GDM selected by purposive sampling technique with sampling criteria. Data analysis used the Colaizzi method.Results: There were five categories, e.g. empathy, inspiration to find ways to treat patients very well, feeling of ambivalence, self-preservation to develop potential, and the impact on the nurses of caring for GDM.Conclusion: Sustaining...
Diabetes in pregnancy: the midwifery role in management
Journal of Midwifery & Women's Health, 2000
Although the primary focus of midwifery is on uncomplicated pregnancy, all midwives must screen for and, in some cases, comanage the care of women with diabetes mellitus and gestational diabetes. This article will review the types of diabetes, implications for preconceptional and pregnancy care, the changing recommendations relative to diabetes in pregnancy, and the role of the midwife in providing antepartal and intrapartal care for women with diabetes in collaboration with other health care professionals and in accordance with the philosophy and standards of the American College of Nurse-Midwives. A specific case study will highlight the role of the midwife, with an overall focus on medical consultation, collaboration, and referral, as well as client involvement in the planning of care.
Nursing and Midwifery Studies
Background: Risk of diabetes mellitus is higher in women with a history of gestational diabetes mellitus (GDM). Postpartum diabetes screening is recommended in women with GDM. However, the rate of this screening is low. Objectives: The purpose of this study was to perform an in-depth exploration of perceived facilitators of attendance to postpartum diabetes screening in women with recent GDM. Methods: This qualitative study was conducted in 2016 in Tehran. Semi-structured interviews carried out with 22 women with a recent GDM who gave birth at least 6 months before the interview. Results: Four main categories were emerged from the data. Each category included two to three subcategories. The first category was appropriate education and included two subcategories of prenatal education and postpartum education. The second category was feeling the ease of screening and included two subcategories of spousal support, and appropriate laboratory facilities. The third category was self-regulation and included three subcategories of importance of health, a desire toward learning about health, and proper planning. The fourth category was attitudes toward the screening and included three subcategories of initial fear better than consequences, feeling comfortable, and uncertainty regarding glucometers' accuracy. The last category was perceived threat and included three subcategories of fear of developing diabetes, being healthy to serve the child/children, and being healthy for other roles. Conclusion: Iranian women with recent GDM reported several facilitators for diabetes postpartum screening. Further studies are suggested.
2021
Gestational diabetes mellitus (GDM) increases type 2 diabetes risk; however, postpartum diabetes screening rates are low. Using semi-structured interviews and focus groups, this study investigates the understanding of GDM and its relationship to future diabetes risk and diabetes prevention among patients with public or no insurance (n = 36), health care providers (n = 21), and clinic staff (n = 9) from Federally Qualified Health Centers. Five main themes emerged: 1) general understanding of GDM diagnosis with focus on neonatal complications; 2) variable recall of diet, exercise, and weight recommendations; 3) overwhelming medication and self-monitoring routines; 4) short-term focus of type 2 diabetes risk and screening; and 5) limited understanding of all options for diabetes prevention. The results may inform diabetes screening and prevention interventions in primary care settings.
Journal of Paediatrics and Child Health, 2014
Aim: To examine clinician views and knowledge regarding postpartum healthcare provision for women who have experienced gestational diabetes (GDM). Methods: Systematic review that searched PubMed, Web of Science, EMBASE and CINAHL. Qualitative studies and surveys, with clinicians as participants, which reported pre-specified outcomes, including barriers and facilitators to postpartum care for GDM, were included. Two authors independently assessed quality and undertook thematic synthesis. Results: Eleven surveys and two interview studies were included (4435 clinicians). Key themes included adequacy of knowledge of risk of type 2 diabetes mellitus (T2DM), gaps between knowledge and practice relating to postpartum screening, and differing perceptions of the value of postpartum screening. Clinicians perceived that women faced obstacles to accessing healthcare, and a need for improved GDM education. Studies reported shortfalls in systems to ensure postpartum screening occurs, and a need to improve communication and collaboration relating to care of women who have experienced GDM. The surveys were often limited in their depth and ability to identify remedial strategies. Conclusions: Barriers to provision of care for women who have had GDM, such as lack of communication of the diagnosis, need to be addressed, and further interview studies exploring clinician views on screening for T2DM are required.
Journal of Clinical Medicine
Gestational diabetes mellitus (GDM) increases the risk of adverse outcomes during and after pregnancy, including a long-term risk of type 2 diabetes. Women with GDM are treated by numerous healthcare professionals during pregnancy and describe a lack of preventive care after pregnancy. We aim to investigate healthcare professionals’ perspectives on the cross-sectoral treatment pathway for women with GDM—during and after pregnancy. A qualitative study was conducted using systematic text condensation. Nine healthcare professionals (two general practitioners, four midwives, two obstetricians and one diabetes nurse) were interviewed and eight health visitors participated in two focus group discussions., Three major themes emerged: (1) “professional identities”, which were identified across healthcare professionals and shaped care practices; (2) ”unclear guidelines on type 2 diabetes prevention after GDM”, which contributed to uncertainty about tasks and responsibilities during and after...
The Pan African medical journal, 2017
Risk of developing type 2 diabetes is increased in women with previous gestational diabetes mellitus (GDM). Postpartum glycemic screening is recommended in women with recent GDM. But this screening rate is low and the reasons are unclear. The aim of this study was to explore the experiences of Iranian women with recent GDM on barriers of postpartum screening for diabetes. This qualitative study was conducted in Tehran, Iran in 2016. Semi-structured interview was used for data collection. 22 women with recent GDM were interviewed. These women gave birth in Tehran hospitals at a minimum of 6 months before interview. The missed screening defined as not attending to laboratory for Fasting Blood Sugar and/or Oral Glucose Tolerance Test, 6 week to 6 month after their child birthing. The data was analyzed by content analysis method. Themes and sub-themes that illustrated the barriers to postpartum diabetes screening were: inadequate education (about developing diabetes in the future, imple...
Antenatal Care Experience In Pregnant Women With Gestational Diabetes
Women, Midwives and Midwifery
Background: Globally, one of the increasing health problems that occur during pregnancy is gestational diabetes. The experience of women diagnosed with diabetes in pregnancy has the possibility of experiencing risks such as pre-eclampsia and polyhydramnios (excess amniotic fluid). Babies of mothers who experience this are also at risk for complications such as macrosomia (birth weight > 4000g). Meanwhile, the experience of women during antenatal visits who have a diagnosis of diabetes in pregnancy, often feel anxious about themselves and the fetus and the risks that will occur in the future. Purpose: To review the evidence related to the experience of antenatal care in pregnant women with gestational diabetes. Methods: The method used is the scoping review. created a framework, selecting article studies with Prism Flow Charts, mapping charting data and Critical Appraisal. Results: Based on 9 articles with quantitative and qualitative research types, it was found that there were 8...
Diabetes research and clinical practice, 2014
To examine clinician views and knowledge regarding postpartum healthcare provision for women who have experienced gestational diabetes (GDM). Systematic review that searched PubMed, Web of Science, EMBASE and CINAHL. Qualitative studies and surveys, with clinicians as participants, which reported pre-specified outcomes, including barriers and facilitators to postpartum care for GDM, were included. Two authors independently assessed quality and undertook thematic synthesis. Eleven surveys and two interview studies were included (4435 clinicians). Key themes included adequacy of knowledge of risk of type 2 diabetes mellitus (T2DM), gaps between knowledge and practice relating to postpartum screening, and differing perceptions of the value of postpartum screening. Clinicians perceived that women faced obstacles to accessing healthcare, and a need for improved GDM education. Studies reported shortfalls in systems to ensure postpartum screening occurs, and a need to improve communication...