Postnatal gestational diabetes mellitus follow-up: Australian women's experiences.
Women Birth
; 28(4): 285-92, 2015 Dec.
Article
in En
| MEDLINE
| ID: mdl-26197766
ABSTRACT
PROBLEM:
Postnatal follow-up screening is recommended for all women diagnosed with gestational diabetes mellitus (GDM). However follow-up rates are poor and highly variable in Australia and internationally. The reasons that mothers are not completing recommended postnatal screening after GDM diagnosis are not well understood or studied. The quality of communication may be an important influence on the completion of postnatal GDM follow-up.AIM:
To explore and assess women's communication experiences of postnatal GDM follow-up.METHODS:
Theoretical, purposeful sampling was used to identify women diagnosed with GDM. Convergent interviews explored participants' communication experiences with GDM and postnatal follow-up. Transcripts were provided to and updated by participants. Data was analysed with Leximancer(®) (V4, 2011) automated content analysis software. SETTING ANDPARTICIPANTS:
This research was conducted at a major tertiary referral hospital in Queensland, Australia, between December 2012 and July 2013. Women participating in maternity shared care and diagnosed with GDM were interviewed (n=13).FINDINGS:
Five themes, all concerned with obtaining information, were identified diagnosis of GDM; seeking GDM information; accessing specialist services; need for postnatal GDM follow-up; and completing GDM follow-up. Results were interpreted using Communication Accommodation Theory (CAT) to explore whether and how the information needs of women were accommodated. Women's interpretations of communication events influenced their knowledge, perceptions and motivation to complete recommended postnatal follow-up.CONCLUSION:
Accommodation of the communication and information needs of women with GDM may be an effective strategy for clinicians to encourage completion of recommended postnatal GDM follow-up.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postnatal Care
/
Diabetes, Gestational
/
Communication
/
Diabetes Mellitus, Type 2
/
Mothers
Type of study:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
Oceania
Language:
En
Journal:
Women Birth
Journal subject:
ENFERMAGEM
/
OBSTETRICIA
Year:
2015
Document type:
Article