Barriers to postpartum screening for type 2 diabetes: a qualitative study of women with previous gestational diabetes

The Pan African Medical Journal

Neda Mehrdad¹  Seyedeh Fatemeh Vasegh Rahimparvar²  Forough Rafii³  Afsaneh Keramat⁴ 

[1] Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran;Nursing Care Research Center, Iran University of Medical Sciences-Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran;Nursing Care Research Center, Nursing and Midwifery Faculty, Iran University of Medical Sciences, Tehran, Iran;Nursing and Midwifery Faculty, Shahrood University of Medical Sciences, Shahrood, Iran;

关键词: gestational diabetes mellitus;    postpartum;    qualitative research;    screening;    type ii diabetes;   

DOI  :  10.11604/pamj.2017.26.54.11433

来源: DOAJ

【 摘 要 】

INTRODUCTION: risk of developing type 2 diabetes is increased in women with previous gestational diabetes mellitus (GDM). Postpartum glycemic screening is recommended in women with recent GDM. But this screening rate is low and the reasons are unclear. The aim of this study was to explore the experiences of Iranian women with recent GDM on barriers of postpartum screening for diabetes. METHODS: this qualitative study was conducted in Tehran, Iran in 2016. Semi-structured interview was used for data collection. 22 women with recent GDM were interviewed. These women gave birth in Tehran hospitals at a minimum of 6 months before interview. The missed screening defined as not attending to laboratory for Fasting Blood Sugar and/or Oral Glucose Tolerance Test, 6 week to 6 month after their child birthing. The data was analyzed by content analysis method. RESULTS: themes and sub-themes that illustrated the barriers to postpartum diabetes screening were: inadequate education (about developing diabetes in the future, implementation of the screening, and glucometer validity in diagnosis of diabetes), perceiving the screening as difficult (feeling comfortable with the glucometer, poor laboratory conditions, issues related to the baby/babies, and financial problems), improper attitudes toward the screening (unwilling to get diagnosed, not giving priority to oneself, having false beliefs) and procrastination (gap to intention and action, self-deception and self-regulation failure). CONCLUSION: women with recent GDM reported several barriers for postpartum diabetes screening. This study help to develop the evidence-based interventions for improving this screening rate.

【 授权许可】

Unknown