Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours

BMC Pregnancy and Childbirth

Heather E Jeffery¹  Jonathan M Morris⁴  Forsyth Rowena⁴  My An T Do²  Thach Son. Tran²  Jane E Hirst³ 

[1] International Women and Children’s Health, Sydney School of Public Health, University of Sydney, Sydney, Australia;Hung Vuong Hospital, 128 Hong Bang St, District 5, Ho Chi Minh City, Viet Nam;Department of Obstetrics & Gynaecology, Sydney Medical School- Northern, University of Sydney, Royal North Shore Hospital, Sydney, NSW, Australia;Perinatal Research Group, Kolling Institute, University of Sydney, Sydney, Australia

关键词: Diabetes education;    Health promotion;    Pregnancy complications;    Qualitative research;    Focus group;    Developing countries;    Vietnam;    Women;    Gestational diabetes;   

Others  :  1152564
DOI  :  10.1186/1471-2393-12-81

 received in 2012-06-01, accepted in 2012-07-31,  发布年份 2012

【 摘 要 】

Background

Diabetes is increasing in prevalence globally, notably amongst populations from low- and middle- income countries. Gestational Diabetes Mellitus(GDM), a precursor for type 2 diabetes, is increasing in line with this trend. Few studies have considered the personal and social effects of GDM on women living in low and middle-income countries. The aim of this study was determine attitudes and health behaviours of pregnant women with GDM in Vietnam.

Methods

This was a qualitative study using focus group methodology conducted in Ho Chi Minh City. Pregnant women, aged over 18 years, with GDM were eligible to participate. Women were purposely sampled to obtain a range of gestational ages and severity of disease. They were invited to attend a 1-hour focus group. Questions were semi structured around six themes. Focus groups were recorded, transcribed, translated and cross-referenced. Non-verbal and group interactions were recorded. Thematic analysis was performed using a theoretical framework approach.

Results

From December 2010 to February 2011, four focus groups were conducted involving 34 women. Median age was 31.5 years (range 23 to 44), median BMI 21.8 kg/m². Women felt confusion, anxiety and guilt about GDM. Many perceived their baby to be at increased risk of death. Advice to reduce dietary starch was confusing. Women reported being ‘hungry’ or ‘starving’ most of the time, unaware of appropriate food substitutions. They were concerned about transmission of GDM through breast milk. Several women planned not to breastfeed. All felt they needed more information. Current sources of information included friends, magazines, a health phone line or the Internet. Women felt small group sessions and information leaflets could benefit them.

Conclusions

This study highlights the need for culturally appropriate clinical education and health promotion activities for women with GDM in Vietnam.

【 授权许可】

   
2012 Hirst et al.; licensee BioMed Central Ltd.

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