'Dealing with ambiguity': the role of obstetricians in gestational diabetes mellitus
(English)Article in journal (Other academic) Submitted
Objective: As gestational diabetes mellitus (GDM) is a pregnancy-related complication, obstetricians provide these women with maternal health care and counselling during pregnancy. This study described obstetricians’ experiences providing maternal health care to pregnant women with GDM.
Methods: A consecutive purposive national sample of seventeen obstetricians providing maternal health care to pregnant women diagnosed with GDM on a regular basis participated in the interview study. The data were analyzed using qualitative content analysis.
Results: During the analysis, eight sub-categories, three categories and one theme were identified. The overall theme describing the experiences of the obstetricians was labelled ‘Dealing with ambiguity’. This ambiguity permeated all aspects of working as an obstetrician within the maternal health care; the role of the obstetrician, the context of organisation, the multifaceted maternal and foetal interests to balance and lack of consensus, recommendations and evidence-based knowledge.
Conclusions and Practice Implications: Dealing with ambiguity permeated all aspects of the role of the obstetrician in the maternal health care provided to pregnant women with GDM. This ambiguity comprised the role of the obstetrician and the context of organisation, the multifaceted interests the obstetricians had to balance and the lack of consensus, recommendations and evidence-based knowledge. The study indicates the need for national guidelines and standardised maternal health care services regarding GDM as to fulfil the intentions of the health care system. Such recommendations may be beneficial and supportive for the health care professionals as well as for the mother-to-be and her foetus.
Gestational diabetes mellitus, experiences, counselling, obstetricians, qualitative study
Obstetrics, Gynecology and Reproductive Medicine
Research subject Obstetrics and Gynaecology
IdentifiersURN: urn:nbn:se:umu:diva-27740OAI: oai:DiVA.org:umu-27740DiVA: diva2:277456