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Diabetes and pregnancy: women's opinions about the care provided during the childbearing year.

Anderberg, Eva LU ; Berntorp, Kerstin LU and Crang Svalenius, Elizabeth LU (2009) In Scandinavian Journal of Caring Sciences 23(1). p.161-170
Abstract
Scand J Caring Sci; 2009 Diabetes and pregnancy: women's opinions about the care provided during the childbearing yearBackground: The extended programmes for pregnant women with diabetes, needed to improve pregnancy outcome, might negatively influence the experience of expecting a baby. Aim: To investigate opinions about care during pregnancy, childbirth and the postnatal period among women with diabetes mellitus (DM) and gestational DM (GDM). Method: A four-part questionnaire was constructed, covering the childbearing year, with a focus on treatment and information. A total of 156 women were asked to participate (53 DM, 103 GDM), three refused. The questionnaire was anonymous. Results: The reply frequency was 94%. Of all answers, 95% fell... (More)
Scand J Caring Sci; 2009 Diabetes and pregnancy: women's opinions about the care provided during the childbearing yearBackground: The extended programmes for pregnant women with diabetes, needed to improve pregnancy outcome, might negatively influence the experience of expecting a baby. Aim: To investigate opinions about care during pregnancy, childbirth and the postnatal period among women with diabetes mellitus (DM) and gestational DM (GDM). Method: A four-part questionnaire was constructed, covering the childbearing year, with a focus on treatment and information. A total of 156 women were asked to participate (53 DM, 103 GDM), three refused. The questionnaire was anonymous. Results: The reply frequency was 94%. Of all answers, 95% fell in neutral-satisfied range (Lickert scale 2-5). Three answering patterns deviated positively (care on Specialist Antenatal Clinic, accessibility, and participation-responsibility-respect). Four patterns deviated negatively (information flow, preparation, postpartum care and postpartum check-up). Increased supervision caused problems with time for the family and at work. Comments showed focus on diabetes, forcing the healthy pregnancy aspects into the background. The answers concerning treatment indicated satisfaction (4 + 5 Lickert scale). Women with GDM felt badly prepared before the glucose tolerance test. It was doubtful whether they had been able to make an informed choice about participating. Lack of knowledge among staff was pointed out. Need for more written material was expressed. Conclusion: Satisfaction with care was shown. A discussion about the implication of informed choice with both staff and mothers are needed. Sharper implementation of the diabetes-care-chain was also an area for improvement. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Caring Sciences
volume
23
issue
1
pages
161 - 170
publisher
Wiley-Blackwell
external identifiers
  • wos:000263466900020
  • pmid:19192239
  • scopus:60449100660
  • pmid:19192239
ISSN
1471-6712
DOI
10.1111/j.1471-6712.2008.00614.x
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000), Endocrinology (013241500), Department of Obstetrics and Gynaecology (Lund) (013018000), Diabetes and Endocrinology (013241530)
id
f77fb971-457b-474c-b057-e25aaac29ec7 (old id 1302889)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19192239?dopt=Abstract
date added to LUP
2016-04-04 09:24:19
date last changed
2021-04-06 01:28:25
@article{f77fb971-457b-474c-b057-e25aaac29ec7,
  abstract     = {Scand J Caring Sci; 2009 Diabetes and pregnancy: women's opinions about the care provided during the childbearing yearBackground: The extended programmes for pregnant women with diabetes, needed to improve pregnancy outcome, might negatively influence the experience of expecting a baby. Aim: To investigate opinions about care during pregnancy, childbirth and the postnatal period among women with diabetes mellitus (DM) and gestational DM (GDM). Method: A four-part questionnaire was constructed, covering the childbearing year, with a focus on treatment and information. A total of 156 women were asked to participate (53 DM, 103 GDM), three refused. The questionnaire was anonymous. Results: The reply frequency was 94%. Of all answers, 95% fell in neutral-satisfied range (Lickert scale 2-5). Three answering patterns deviated positively (care on Specialist Antenatal Clinic, accessibility, and participation-responsibility-respect). Four patterns deviated negatively (information flow, preparation, postpartum care and postpartum check-up). Increased supervision caused problems with time for the family and at work. Comments showed focus on diabetes, forcing the healthy pregnancy aspects into the background. The answers concerning treatment indicated satisfaction (4 + 5 Lickert scale). Women with GDM felt badly prepared before the glucose tolerance test. It was doubtful whether they had been able to make an informed choice about participating. Lack of knowledge among staff was pointed out. Need for more written material was expressed. Conclusion: Satisfaction with care was shown. A discussion about the implication of informed choice with both staff and mothers are needed. Sharper implementation of the diabetes-care-chain was also an area for improvement.},
  author       = {Anderberg, Eva and Berntorp, Kerstin and Crang Svalenius, Elizabeth},
  issn         = {1471-6712},
  language     = {eng},
  number       = {1},
  pages        = {161--170},
  publisher    = {Wiley-Blackwell},
  series       = {Scandinavian Journal of Caring Sciences},
  title        = {Diabetes and pregnancy: women's opinions about the care provided during the childbearing year.},
  url          = {http://dx.doi.org/10.1111/j.1471-6712.2008.00614.x},
  doi          = {10.1111/j.1471-6712.2008.00614.x},
  volume       = {23},
  year         = {2009},
}