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Research

Gestational diabetes mellitus follow-up in Norwegian primary health care: a qualitative study

Johanne H Toft, Inger Økland and Christina Furskog Risa
BJGP Open 2022; 6 (1): BJGPO.2021.0104. DOI: https://doi.org/10.3399/BJGPO.2021.0104
Johanne H Toft
1 Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway
2 Department of Clinical Science, University of Bergen, Bergen, Norway
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  • ORCID record for Johanne H Toft
  • For correspondence: johanne.holm.toft@sus.no
Inger Økland
1 Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway
3 Department of Caring and Ethics, University of Stavanger, Stavanger, Norway
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Christina Furskog Risa
3 Department of Caring and Ethics, University of Stavanger, Stavanger, Norway
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    Figure 1. Flowchart of the study population
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    Figure 2. Relationship between overarching themes and main themes along the time course. GDM = gestational diabetes mellitus

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    Table 1. Example from the data analysis of transforming transcripts to codes and themes
    TranscriptCodeTheme
    After the initial shock, my stress level decreased. I had to do what was possible, no panic of missing one measurement.Suddenly, gestational diabetes was very serious. Had my GP and I been too laid-back?Shock getting GDM, stress level decreased gradually.Adequate self-management and follow-up?Gaining control and finding balanceUncertainty
    I was frightened, how could gestational diabetes affect my baby’s health?Frightened, worried about the babyUncertainty
    • GDM = gestational diabetes mellitus.

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    Table 2. Characteristics of the study population (n = 14)
    CharacteristicMean (range)n (%)
    Age, years33.7 (28–44)
    Ethnic background
     Scandinavian11 (79)
     Mediterranean or Middle Eastern3 (21)
    Educational level
     Master’s degree7 (50)
     Bachelor’s degree4 (29)
     Student3 (21)
    First-degree relative with diabetes mellitus6 (43)
    Pre-pregnancy BMI (kg/m2)a 25.4 (20–36)
    Weight gain in pregnancy until OGTT (kg)a 10.0 (3–18)
    Insulin use in pregnancya 2 (14)
    Interview time-pointb 27.4 (24–30)
    • aIn first pregnancy. bMonths after birth. BMI = body mass index. OGTT = oral glucose tolerance test.

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    Table 3. Study participants' experiences of GDM follow-up, weight development, and attitudes to future diabetes risk (n = 14)
    Categoryn (%)
    Follow-up in pregnancya
     Good8 (57)
     Middle3 (21)
     Not good3 (21)
    Follow-up after pregnancya
     Good2 (14)
     Middle2 (14)
     Not good10 (71)
    HbA1c measurement after pregnancy
     Participant’s initiative8 (57)
     GP’s initiative1 (7)
     Not measured5 (36)
    Weight development after pregnancyb
     Weight gain8 (57)
     Weight loss6 (43)
    The experience with GDM will affect lifestyle and diet in next pregnancy
     Yes13 (93)
     No1 (7)
    Aware of or thinking about future diabetes risk
     Yes12 (86)
     No2 (14)
    • aParticipants were asked to select a response. bCompared with pre-pregnancy weight in first pregnancy. GDM = gestational diabetes mellitus.

Supplementary Data

  • BJGPO.2021.0104_Supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Gestational diabetes mellitus follow-up in Norwegian primary health care: a qualitative study
Johanne H Toft, Inger Økland, Christina Furskog Risa
BJGP Open 2022; 6 (1): BJGPO.2021.0104. DOI: 10.3399/BJGPO.2021.0104

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Gestational diabetes mellitus follow-up in Norwegian primary health care: a qualitative study
Johanne H Toft, Inger Økland, Christina Furskog Risa
BJGP Open 2022; 6 (1): BJGPO.2021.0104. DOI: 10.3399/BJGPO.2021.0104
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Keywords

  • diabetes, gestational
  • Qualitative research
  • primary health care
  • health promotion
  • general practice

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