An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment

Bianca U Devsam; Fiona E Bogossian; Ann S Peacock

doi:10.1016/j.wombi.2012.12.003

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An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment

Journal article

Peer reviewed

An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment

Bianca U Devsam, Fiona E Bogossian and Ann S Peacock

Women and Birth, Vol.26(2), pp.e69-e76

2013

DOI: https://doi.org/10.1016/j.wombi.2012.12.003

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Abstract

beliefs

experiences

gestational diabetes

postpartum

pregnancy

Background: Gestational diabetes mellitus (GDM) affects almost 5% of pregnancies in Australia, and within 15 years, 25% of affected women will go on to develop Type 2 Diabetes Mellitus (T2DM). The adoption of preventive health behaviours may be influenced by women's experiences of GDM. Question: This review sought to understand women's beliefs, values, perceptions and experiences following diagnosis of GDM. Methods: Peer reviewed and professional journals were searched for primary research, published between January 1991 and December 2011 that explored the beliefs, values, perceptions and experiences of peripartum or postpartum women with a diagnosis or history of GDM. Findings: Nineteen studies met the inclusion criteria and the majority of these studies were qualitative (n=15). Each study was reviewed and synthesis revealed three emergent themes and core concepts related to each theme: Responses (initial reaction to GDM diagnosis, negative thoughts following diagnosis, struggle to manage GDM, feelings of 'loss of control', changes to identity and adapting to change), Focus of Concern (concern for baby's health, mother's concern for her own health, perceived seriousness of GDM, perceived fear of T2DM) and Influencing Factors (cultural roles and beliefs, social stigmas, social support, professional support, adequate and appropriate information, social roles and barriers to self-care). Conclusion: The experiences of women with GDM are unique and personal however this review highlights common experiences evident in the existing research. The proposed framework may be used by midwives in clinical assessment and care of women diagnosed with GDM. © 2012 Australian College of Midwives.

Details

Title: An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment
Authors: Bianca U Devsam (Author) - University of Queensland
Fiona E Bogossian (Author) - University of Queensland
Ann S Peacock (Author) - University of Queensland
Publication details: Women and Birth, Vol.26(2), pp.e69-e76
Publisher: Elsevier BV
Date published: 2013
DOI: 10.1016/j.wombi.2012.12.003
ISSN: 1871-5192
Organisation Unit: School of Health; University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99450872002621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Nursing; Obstetrics & Gynecology

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