Document Detail


Preventing type 2 diabetes after gestational diabetes: women's experiences and implications for diabetes prevention interventions.
MedLine Citation:
PMID:  23534548     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To explore factors influencing post-natal health behaviours following the experience of gestational diabetes, and to elicit women's views about the feasibility of lifestyle intervention to prevent diabetes during the first 2 years after childbirth.
METHODS: Qualitative study using semi-structured interviews with women who had gestational diabetes. In phase 1 (31 women), interviews explored the experience of gestational diabetes, ideas about future risk of diabetes and factors influencing post-natal health-related behaviours. Statements were developed summarizing women's views of lifestyle change to prevent diabetes. In phase 2 (14 women), interviews explored how the passage of time had contributed to changes in health behaviour, and the statements were used to develop views about diabetes interventions.
RESULTS: Women were aware of their risk of developing diabetes, but did not always act on such knowledge. Pregnancy motivated behaviour changes to benefit the unborn child, but after delivery these changes were often not maintained. Tiredness, maternal attachment and childcare demands were prominent barriers in the early post-natal months. Later, work, family and child development became more significant barriers. Many women became more receptive to healthy eating messages around the time of weaning. Women were positive about long-term support for self-management to reduce their diabetes risk.
CONCLUSIONS: There is potential to reduce the risk of Type 2 diabetes post-natally among women with gestational diabetes. Interventions need to be developed that take into account contextual factors and competing demands, are flexible and respond to women's individual circumstances. Randomized trials of such interventions are warranted.
Authors:
M L S Lie; L Hayes; N J Lewis-Barned; C May; M White; R Bell
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-04-19
Journal Detail:
Title:  Diabetic medicine : a journal of the British Diabetic Association     Volume:  30     ISSN:  1464-5491     ISO Abbreviation:  Diabet. Med.     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-17     Completed Date:  2013-10-22     Revised Date:  2013-12-31    
Medline Journal Info:
Nlm Unique ID:  8500858     Medline TA:  Diabet Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  986-93     Citation Subset:  IM    
Copyright Information:
© 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Diabetes Mellitus, Type 2 / etiology,  prevention & control*
Diabetes, Gestational / physiopathology*
England / epidemiology
Fatigue / epidemiology
Feasibility Studies
Female
Follow-Up Studies
Health Behavior*
Health Knowledge, Attitudes, Practice
Humans
Individualized Medicine
Life Style*
Longitudinal Studies
Maternal Behavior*
Postpartum Period
Pregnancy
Risk
Young Adult
Comments/Corrections
Comment In:
Diabet Med. 2013 Dec;30(12):1509-10   [PMID:  23952364 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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