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Midwives' and diabetes nurses' experience of screening and care of women with gestational diabetes mellitus: a qualitative interview study
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.ORCID iD: 0000-0003-0820-6946
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.ORCID iD: 0000-0002-5203-9877
The Skaraborg Institute, Sweden; Department of Public Health and Community Medicine/Primary Health Care, The Sahlgrenska Academy, The University of Gothenburg, Gothenburg, Sweden.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
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2023 (English)In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2023, article id 6386581Article in journal (Refereed) Published
Abstract [en]

Background: Gestational diabetes mellitus (GDM) is increasing and is associated with adverse outcomes for both mother and child. The metabolic demands of pregnancy can reveal a predisposition for type 2 diabetes mellitus (T2DM), and women with a history of GDM are more likely to develop T2DM than women with normoglycemic pregnancies.

Aim: The aim of this study was to explore midwives' and diabetes nurses' experience of their role in screening, care, and follow-up of women with gestational diabetes mellitus and, further, to explore their opinions and thoughts about existing routines and guidelines.

Method: Individual interviews were performed with ten diabetes nurses and eight midwives working in primary and special care. Qualitative content analysis was done according to Graneheim and Lundman.

Results: The analysis of the interviews resulted in the overall theme "An act of balance between normalcy and illness, working for motivation with dilemmas throughout the chain of health care."Difficulties in carrying out the important task of handling GDM while at the same time keeping the pregnancy in focus were central. Women were described as highly motivated to maintain a healthy lifestyle during pregnancy with the baby in mind, but it seemed difficult to maintain this after delivery, and compliance with long-term follow-up with the aim of reducing the risk of T2DM was low. The women came to the first follow-up but did not continue with later contact. This was at a time when the women felt healthy and were focusing on the baby and not themselves. A lack of cooperation and easy access to a dietician and physiotherapist were pointed out as well as a wish for resources such as group activities and multiprofessional teams.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2023. Vol. 2023, article id 6386581
National Category
Nursing Endocrinology and Diabetes
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URN: urn:nbn:se:umu:diva-213737DOI: 10.1155/2023/6386581ISI: 001042884400001PubMedID: 37546577Scopus ID: 2-s2.0-85168473172OAI: oai:DiVA.org:umu-213737DiVA, id: diva2:1794676
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Region Jämtland HärjedalenAvailable from: 2023-09-06 Created: 2023-09-06 Last updated: 2023-09-06Bibliographically approved

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Köpsén, SofiaLilja, MikaelSandlund, JonasSjöström, Rita

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