PMID- 37546577
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230808
IS  - 2090-1429 (Print)
IS  - 2090-1437 (Electronic)
IS  - 2090-1429 (Linking)
VI  - 2023
DP  - 2023
TI  - Midwives' and Diabetes Nurses' Experience of Screening and Care of Women with 
      Gestational Diabetes Mellitus: A Qualitative Interview Study.
PG  - 6386581
LID - 10.1155/2023/6386581 [doi]
LID - 6386581
AB  - BACKGROUND: Gestational diabetes mellitus (GDM) is increasing and is associated 
      with adverse outcomes for both mother and child. The metabolic demands of 
      pregnancy can reveal a predisposition for type 2 diabetes mellitus (T2DM), and 
      women with a history of GDM are more likely to develop T2DM than women with 
      normoglycemic pregnancies. AIM: The aim of this study was to explore midwives' 
      and diabetes nurses' experience of their role in screening, care, and follow-up 
      of women with gestational diabetes mellitus and, further, to explore their 
      opinions and thoughts about existing routines and guidelines. METHOD: Individual 
      interviews were performed with ten diabetes nurses and eight midwives working in 
      primary and special care. Qualitative content analysis was done according to 
      Graneheim and Lundman. RESULTS: The analysis of the interviews resulted in the 
      overall theme "An act of balance between normalcy and illness, working for 
      motivation with dilemmas throughout the chain of health care." Difficulties in 
      carrying out the important task of handling GDM while at the same time keeping 
      the pregnancy in focus were central. Women were described as highly motivated to 
      maintain a healthy lifestyle during pregnancy with the baby in mind, but it 
      seemed difficult to maintain this after delivery, and compliance with long-term 
      follow-up with the aim of reducing the risk of T2DM was low. The women came to 
      the first follow-up but did not continue with later contact. This was at a time 
      when the women felt healthy and were focusing on the baby and not themselves. A 
      lack of cooperation and easy access to a dietician and physiotherapist were 
      pointed out as well as a wish for resources such as group activities and 
      multiprofessional teams.
CI  - Copyright (c) 2023 Sofia Kopsen et al.
FAU - Kopsen, Sofia
AU  - Kopsen S
AUID- ORCID: 0000-0003-0820-6946
AD  - Department of Community Medicine and Rehabilitation, Unit of Research, Education 
      and Development-Ostersund, Umea University, Umea, Sweden.
FAU - Lilja, Mikael
AU  - Lilja M
AD  - Department of Public Health and Clinical Medicine, Unit of Research, Education 
      and Development-Ostersund, Umea University, Umea, Sweden.
FAU - Hellgren, Margareta
AU  - Hellgren M
AD  - The Skaraborg Institute, Sweden. Department of Public Health and Community 
      Medicine/Primary Health Care, The Sahlgrenska Academy at the University of 
      Gothenburg, Gothenburg, Sweden.
FAU - Sandlund, Jonas
AU  - Sandlund J
AD  - Department of Community Medicine and Rehabilitation, Physiotherapy, Umea 
      University, Umea, Sweden.
FAU - Sjostrom, Rita
AU  - Sjostrom R
AD  - Department of Community Medicine and Rehabilitation, Unit of Research, Education 
      and Development-Ostersund, Umea University, Umea, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20230729
PL  - Egypt
TA  - Nurs Res Pract
JT  - Nursing research and practice
JID - 101561211
PMC - PMC10404154
COIS- The authors declare that there are no conflicts of interest.
EDAT- 2023/08/07 06:42
MHDA- 2023/08/07 06:43
PMCR- 2023/07/29
CRDT- 2023/08/07 04:39
PHST- 2023/02/26 00:00 [received]
PHST- 2023/07/05 00:00 [revised]
PHST- 2023/07/17 00:00 [accepted]
PHST- 2023/08/07 06:43 [medline]
PHST- 2023/08/07 06:42 [pubmed]
PHST- 2023/08/07 04:39 [entrez]
PHST- 2023/07/29 00:00 [pmc-release]
AID - 10.1155/2023/6386581 [doi]
PST - epublish
SO  - Nurs Res Pract. 2023 Jul 29;2023:6386581. doi: 10.1155/2023/6386581. eCollection 
      2023.