Manoharan Nandhini, Jayaseelan Venkatachalam, Kar Sitanshu Sekhar, Jha Nivedita
Department of Preventive and Social Medicine, JIPMER, Puducherry, India.
Department of Obstetrics and Gynecology, JIPMER, Puducherry, India.
J Educ Health Promot. 2023 Apr 28;12:131. doi: 10.4103/jehp.jehp_1166_22. eCollection 2023.
In India, women with GDM are at an increased risk of developing type 2 diabetes mellitus (T2DM). Despite this, the rate of postnatal blood glucose monitoring is low, and the reasons are not well known. Hence, our study explored the barriers and facilitating factors associated with T2DM postnatal screening six weeks after delivery.
We conducted a qualitative study among 21 mothers with GDM in obstetrics and gynecology department, women and child hospital (WCH), JIPMER, from December 2021 to January 2022. Mothers with GDM were selected purposively between 8 and 12 weeks after delivery to explore the barriers and facilitating factors associated with postnatal screening six weeks after getting mobile call reminders and health information booklet interventions. In-depth interviews were transcribed; manual content analysis with deductive and inductive coding was done.
We identified two themes; three categories and subcategories that illustrated barriers and five categories that illustrated facilitators to postnatal blood glucose monitoring. Lack of awareness and misconceptions about GDM, knowledge practice gap, lack of family support, and perception of health system failure by mothers with GDM were barriers to postnatal blood glucose monitoring. Concerns about health, standard advice on postnatal screening, information in health education booklet, mobile reminders, and family support were found to be facilitators.
We found several barriers and facilitating factors that showed mobile call reminders and booklet interventions had improved postnatal blood glucose monitoring. Our qualitative study has strengthened the findings of the previous RCT, and it would provide more insights to develop further interventions which we must focus on improving postnatal blood glucose monitoring.
在印度，患有妊娠期糖尿病（GDM）的女性患2型糖尿病（T2DM）的风险增加。尽管如此，产后血糖监测率较低，原因尚不清楚。因此，我们的研究探讨了分娩后六周与T2DM产后筛查相关的障碍和促进因素。
2021年12月至2022年1月，我们在JIPMER妇女儿童医院妇产科对21名患有GDM的母亲进行了一项定性研究。有目的地选择产后8至12周的GDM母亲，以探讨在收到手机提醒和健康信息手册干预后六周与产后筛查相关的障碍和促进因素。对深入访谈进行了转录；采用演绎和归纳编码进行了手动内容分析。
我们确定了两个主题；三个类别和子类别说明了障碍，五个类别说明了产后血糖监测的促进因素。对GDM缺乏认识和误解、知识实践差距、缺乏家庭支持以及GDM母亲对卫生系统失败的认知是产后血糖监测的障碍。对健康的关注、产后筛查的标准建议、健康教育手册中的信息、手机提醒和家庭支持被发现是促进因素。
我们发现了几个障碍和促进因素，表明手机提醒和手册干预改善了产后血糖监测。我们的定性研究强化了先前随机对照试验的结果，它将为制定进一步的干预措施提供更多见解，我们必须专注于改善产后血糖监测。
