School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Ratchathewi, Bangkok, Thailand.
PLoS One. 2023 Jun 12;18(6):e0286646. doi: 10.1371/journal.pone.0286646. eCollection 2023.
Women with type 2 diabetes mellitus are at a higher risk of pregnancy complications. Although traditional beliefs and practices influence diabetes management and breastfeeding, recommendations integrating Thai cultural beliefs in maternal care are lacking. The purpose of this study is to describe diabetes self-management in pregnancy and breastfeeding experiences in women with preexisting type 2 diabetes mellitus from Thailand. A convergent parallel mixed-methods study will be conducted. Data will be collected from 20 pregnant women with preexisting type 2 diabetes mellitus in Thailand who are either primigravida or multigravida, aged 20-44 years old, speak the Thai language, and provide consent. The National Institute on Minority Health and Health Disparities Framework's sociocultural and behavioral domains guides the research aims. Data will be collected two times. The first time is during pregnancy (T1); study participants will complete questionnaires and engage in an interview about diabetes self-management, breastfeeding confidence, and breastfeeding intention. The second time is at 4-6 weeks postpartum (T2); study participants will be interviewed about their breastfeeding experiences. We will review and extract maternal health outcomes including body mass index, gestational weight gain, and glycated hemoglobin for T1 as well as fasting plasma glucose for T2. Qualitative data will be analyzed using directed content analysis. Quantitative data will be analyzed using descriptive statistics. Data sources will be triangulated with relative convergence in the results. This proposed study is significant because the findings will be used as a preliminary guide to developing a culturally tailored approach to enhance health outcomes of Thai women with diabetes in pregnancy and postpartum periods.
患有 2 型糖尿病的女性妊娠并发症风险较高。尽管传统观念和做法会影响糖尿病的管理和母乳喂养，但缺乏将泰国文化信念融入产妇护理的建议。本研究的目的是描述泰国患有 2 型糖尿病的女性在妊娠和哺乳期的自我管理经验。这将是一项汇聚性平行混合方法研究。将在泰国招募 20 名年龄在 20-44 岁、母语为泰语、经同意的患有 2 型糖尿病的初产妇或经产妇。研究目的将以美国国家少数民族健康与健康差异研究所的社会文化和行为领域为指导。将分两次收集数据。第一次是在妊娠期间（T1）；研究参与者将完成问卷，并就糖尿病自我管理、母乳喂养信心和母乳喂养意愿进行访谈。第二次是在产后 4-6 周（T2）；研究参与者将接受关于母乳喂养经历的访谈。我们将回顾并提取 T1 时的产妇健康结果，包括体重指数、妊娠体重增加和糖化血红蛋白，以及 T2 时的空腹血浆葡萄糖。将使用有针对性的内容分析对定性数据进行分析。将使用描述性统计对定量数据进行分析。将通过结果的相对收敛来对数据源进行三角验证。这项拟议的研究意义重大，因为研究结果将作为制定一种文化上合适的方法的初步指南，以提高泰国糖尿病女性在妊娠和产后期间的健康结果。
