Education & Prevention Division, Australian Diabetes Council, Glebe, NSW 2037, Australia.
University of Toronto, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada.
Women Birth. 2014 Mar;27(1):52-7. doi: 10.1016/j.wombi.2013.10.001. Epub 2013 Oct 31.
The purpose of this study was to describe Australian women's reflections on the experience of having a pregnancy affected by GDM.
Participants were women aged ≥18 years, diagnosed with GDM ≤3 years previously and registered with the National Diabetes Services Scheme. Data was collected from a cross-sectional written postal survey which included the opportunity for women to document their experiences of living with GDM. Thematic framework analysis was undertaken to determine underlying themes.
Of 4098 invited eligible women, 1372 consented to participate. Of these, 393 provided feedback on their experiences of living with GDM. Eight key themes emerged from the data (1) shock, fear and anxiety (8.9%), (2) uncertainty and scepticism (9.4%), (3) an opportunity to improve one's health (9.6%), (4) adapting to life with GDM (11.6%), (5) the need for support (17.2%), (6) better awareness (3.5%), (7) abandoned (14.9%), (8) staying healthy and preventing diabetes (13.7%). Women taking insulin were more likely to experience shock, fear or anxiety (p=0.001) and there was a trend towards women who spoke another language also being more likely to report this experience (p=0.061). Those diagnosed with GDM in a previous pregnancy (p=0.034) and younger women (p=0.054) were less likely to view the diagnosis as an opportunity to improve their health.
This study provides an insight into the experience of the pregnant woman diagnosed with GDM. It emphasises the importance of health professional support and provides insight into the challenges and opportunities for future diabetes risk reduction.
本研究旨在描述澳大利亚女性对妊娠合并 GDM 经历的反思。
参与者为年龄≥18 岁、在 3 年前被诊断为 GDM≤并在国家糖尿病服务计划中注册的女性。数据来自于横断面书面邮寄调查，该调查为女性提供了记录其 GDM 生活经历的机会。采用主题框架分析确定潜在主题。
在邀请的 4098 名符合条件的女性中，有 1372 名同意参与。其中，393 名女性对其 GDM 生活经历提供了反馈。数据中出现了 8 个关键主题（1）震惊、恐惧和焦虑（8.9%），（2）不确定和怀疑（9.4%），（3）改善健康的机会（9.6%），（4）适应 GDM 生活（11.6%），（5）需要支持（17.2%），（6）提高认识（3.5%），（7）被遗弃（14.9%），（8）保持健康和预防糖尿病（13.7%）。使用胰岛素的女性更有可能经历震惊、恐惧或焦虑（p=0.001），并且有趋势表明，讲另一种语言的女性也更有可能报告这种经历（p=0.061）。那些在之前的妊娠中被诊断为 GDM（p=0.034）和较年轻的女性（p=0.054）不太可能将诊断视为改善健康的机会。
本研究深入了解了诊断为 GDM 的孕妇的经历。它强调了卫生专业人员支持的重要性，并深入了解了未来降低糖尿病风险的挑战和机遇。
