Postnatal gestational diabetes mellitus follow-up: Australian women's experiences

Kilgour, Catherine, Bogossian, Fiona Elizabeth, Callaway, Leonie and Gallois, Cindy (2015) Postnatal gestational diabetes mellitus follow-up: Australian women's experiences. Women and Birth, 28 4: 285-292. doi:10.1016/j.wombi.2015.06.004

Author Kilgour, Catherine
Bogossian, Fiona Elizabeth
Callaway, Leonie
Gallois, Cindy
Title Postnatal gestational diabetes mellitus follow-up: Australian women's experiences
Journal name Women and Birth   Check publisher's open access policy
ISSN 1878-1799
Publication date 2015-07-18
Sub-type Article (original research)
DOI 10.1016/j.wombi.2015.06.004
Open Access Status Not yet assessed
Volume 28
Issue 4
Start page 285
End page 292
Total pages 8
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2016
Language eng
Formatted 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 and participants:  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.
Keyword Gestational diabetes
GDM women
Communication accommodation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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