Womens views and knowledge regarding healthcare seeking for gestational diabetes in the postpartum period A systematic review of qualitativesurvey studies.pdfVIP
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Womens views and knowledge regarding healthcare seeking for gestational diabetes in the postpartum period A systematic review of qualitativesurvey studies.pdf
diabetes research and clinical practice 110 (2015) 109–122
Contents available at ScienceDirect
Diabetes Research and Clinical Practice
journal homepage: /locate/diabres
Review
Women’s views and knowledge regarding healthcare seeking for gestational diabetes in the postpartum period: A systematic review of qualitative/survey studies
Emer Van Ryswyk a,*, Philippa Middleton a, Elen Shute a, William Hague a, Caroline Crowther a,b
a Robinson Research Institute, The University of Adelaide, Australia b Liggins Institute, The University of Auckland, New Zealand
article info
Article history: Received 9 June 2015 Received in revised form 30 August 2015 Accepted 8 September 2015 Available online 24 September 2015
Keywords: Gestational diabetes mellitus Postpartum care Healthcare seeking Women’s views
abstract
Aim: To identify factors in?uencing postpartum healthcare seeking, from the perspective of women who have experienced gestational diabetes mellitus (GDM). Methods: Systematic review that searched PubMed, Web of Science, EMBASE and CINAHL on 27th February 2013. Qualitative studies and surveys, with women as participants, which reported pre-speci?ed outcomes, including barriers and facilitators to healthcare seeking for GDM after birth, were included. Two authors independently extracted data and assessed quality. Results were thematically synthesised. Results: Forty-two studies were included, with data from 7949 women in several countries. The diagnosis of GDM was sometimes a concerning or upsetting experience. A need for more speci?c information about GDM to be available around the time of diagnosis was identi?ed. Women had varied experiences of antenatal GDM care and management, ranging from very positive to dif?cult and confusing. Non-judgemental and positively focussed care was preferred.
While women were often knowledgeable about type 2 diabetes risk and prevention, they faced multiple barriers to undertaking preventive behaviours. A need for lifestyle change support a
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