Rebecca F Goldstein1, Melanie E Gibson-Helm2, Jacqueline A Boyle2, Helena J Teede3. 1. Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia; Diabetes and Vascular Medicine Unit, Monash Health, Melbourne, VIC, Australia. 2. Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia. 3. Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia; Diabetes and Vascular Medicine Unit, Monash Health, Melbourne, VIC, Australia. Electronic address: helena.teede@monash.edu.
Abstract
OBJECTIVE: To evaluate satisfaction with diagnosis, risk perceptions, and health beliefs among women with gestational diabetes mellitus (GDM). METHODS: In a cross-sectional questionnaire-based study, participants with GDM diagnosed after 26weeks of pregnancy were recruited from hospital-based services at Monash Health (Melbourne, VIC, Australia) and through newspaper advertisements between 2008 and 2010. Eligible participants-aged at least 18years and able to read English-completed a questionnaire. RESULTS: Among 46 women who completed the questionnaire, 38 (83%) were satisfied with the explanation of the GDM screening test and 31 (67%) felt that the results were explained well. Generally, women were satisfied with the information provided about lifestyle management (29 [81%] of 36) and medical therapy (26 [72%] of 36). Most women (41 [89%]) associated poor GDM control with perinatal complications. Additionally, many participants thought that insulin (35 [76%]) and lifestyle changes (30 [65%]) could reduce macrosomia. A total of 37 (82%) of 45 women perceived that they were at risk of future GDM, and 33 (73%) thought they had an increased risk of type 2 diabetes. Most women believed that they could change these risks (29 [64%] and 37 [82%] of 45, respectively). CONCLUSION: Women were largely positive about their experience of GDM diagnosis. Explanation of the screening test and provision of information could be improved. Risk perception was reasonable.
OBJECTIVE: To evaluate satisfaction with diagnosis, risk perceptions, and health beliefs among women with gestational diabetes mellitus (GDM). METHODS: In a cross-sectional questionnaire-based study, participants with GDM diagnosed after 26weeks of pregnancy were recruited from hospital-based services at Monash Health (Melbourne, VIC, Australia) and through newspaper advertisements between 2008 and 2010. Eligible participants-aged at least 18years and able to read English-completed a questionnaire. RESULTS: Among 46 women who completed the questionnaire, 38 (83%) were satisfied with the explanation of the GDM screening test and 31 (67%) felt that the results were explained well. Generally, women were satisfied with the information provided about lifestyle management (29 [81%] of 36) and medical therapy (26 [72%] of 36). Most women (41 [89%]) associated poor GDM control with perinatal complications. Additionally, many participants thought that insulin (35 [76%]) and lifestyle changes (30 [65%]) could reduce macrosomia. A total of 37 (82%) of 45 women perceived that they were at risk of future GDM, and 33 (73%) thought they had an increased risk of type 2 diabetes. Most women believed that they could change these risks (29 [64%] and 37 [82%] of 45, respectively). CONCLUSION:Women were largely positive about their experience of GDM diagnosis. Explanation of the screening test and provision of information could be improved. Risk perception was reasonable.
Authors: Rebecca F Goldstein; Jacqueline A Boyle; Clement Lo; Helena J Teede; Cheryce L Harrison Journal: BMC Pregnancy Childbirth Date: 2021-08-18 Impact factor: 3.007