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dc.contributor.authorToft, Johanne Holm
dc.contributor.authorØkland, Inger
dc.contributor.authorFurskog-Risa, Christina
dc.date.accessioned2022-01-30T15:22:52Z
dc.date.available2022-01-30T15:22:52Z
dc.date.created2022-01-25T11:26:24Z
dc.date.issued2021-12
dc.identifier.citationToft, J.H., Økland, I., Risa, C.F. (2021) Gestational diabetes mellitus follow-up in Norwegian primary health care: a qualitative study. British Journal of General Practice Openen_US
dc.identifier.issn2398-3795
dc.identifier.urihttps://hdl.handle.net/11250/2975757
dc.description.abstractBackground Women with gestational diabetes mellitus (GDM) have a tenfold increased risk of developing diabetes, and a high risk of recurrent GDM. Endorsing the life-course approach aiming to prevent disease and promote health across generations, the Norwegian GDM guideline recommends follow-up in primary care after delivery, with information on the increased risks, lifestyle counselling, and annual diabetes screening. Few reports exist on Norwegian women’s experiences of GDM follow-up. Aim To elucidate women’s experiences with follow-up of GDM in pregnancy and after delivery, and to explore their attitudes to diabetes risk and motivation for lifestyle changes. Design & setting Qualitative study in primary care in the region of Stavanger, Norway. Method Semi-structured in-depth interviews were conducted 24–30 months after delivery with 14 women aged 28–44 years, with a history of GDM. Data were analysed thematically. Results Most women were satisfied with the follow-up during pregnancy; however, only two women were followed-up according to the guideline after delivery. In most encounters with GPs after delivery, GDM was not mentioned. To continue the healthy lifestyle adopted in pregnancy, awareness of future risk was a motivational factor, and the women asked for tailored information on individual risk and improved support. The main themes emerging from the analysis were as follows: stigma and shame; uncertainty; gaining control and finding balance; and a need for support to sustain change. Conclusion Women experienced a lack of support for GDM in Norwegian primary care after delivery. To maintain a healthy lifestyle, women suggested being given tailored information and improved support.en_US
dc.language.isoengen_US
dc.publisherThe Royal College of General Practitionersen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectsvangerskapsdiabetesen_US
dc.subjectgestational diabetes mellitusen_US
dc.subjectkvinnehelseen_US
dc.titleGestational diabetes mellitus follow-up in Norwegian primary health care: a qualitative studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2021, The Authorsen_US
dc.subject.nsiVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en_US
dc.source.journalBritish Journal of General Practice Openen_US
dc.identifier.doi10.3399/BJGPO.2021.0104
dc.identifier.cristin1989317
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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