Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, 91101, USA.
Best Pract Res Clin Obstet Gynaecol. 2011 Feb;25(1):15-24. doi: 10.1016/j.bpobgyn.2010.10.003. Epub 2010 Nov 5.
Given the increasing incidence of type 1 diabetes, the recent emergence of type 2 diabetes as a condition that can begin during childhood, and the increasing prevalence of gestational diabetes mellitus, the number of women who have some form of diabetes during their pregnancies is increasing. The perceptions and expectations of women with diabetes during pregnancy may affect their psychological response to pregnancy as well as their behaviour during and after pregnancy. This article provides an overview of the epidemiology of diabetes in pregnancy, including diabetes diagnosed before pregnancy and gestational diabetes mellitus. Then, the limited number of studies about women's perceptions of diabetes and pregnancy, based on interviews conducted during or shortly after pregnancy, are reviewed. We present information about how health professionals may manage these perceptions and expectations, based on the findings of these studies, as well as areas for future research.
鉴于 1 型糖尿病发病率的上升,2 型糖尿病作为一种可在儿童时期开始的疾病的新近出现,以及妊娠糖尿病的发病率不断上升,在怀孕期间患有某种形式糖尿病的妇女人数正在增加。患有糖尿病的孕妇的观念和期望可能会影响她们对怀孕的心理反应以及她们在怀孕期间和之后的行为。本文概述了妊娠糖尿病的流行病学,包括妊娠前诊断的糖尿病和妊娠糖尿病。然后,根据在怀孕期间或怀孕后不久进行的访谈,回顾了为数不多的关于妇女对糖尿病和怀孕的看法的研究。我们根据这些研究的结果介绍了卫生专业人员如何管理这些看法和期望的信息,以及未来研究的领域。