Current practice, attitude and views of providing pregnancy care for women with type 1 diabetes in China: a qualitative study
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Authors
Luo, Sihui
Yan, Jinhua
Yang, Daizhi
Xiong, Shanshan
Wang, Chaofan
Guo, Yan
Yao, Bin
Weng, Jianping
Zheng, Xueying
Issue Date
2022-11-07
Type
Article
Language
en_US
Keywords
Qualitative Research , Quality in Health Care , Diabetes in Pregnancy
Alternative Title
Abstract
Objective:
Data are sparse on healthcare needs related to pregnancy among Chinese women with type 1 diabetes (T1D) or the gap between the needs and healthcare provision in China. We aimed to identify their needs and the gaps in pregnancy care provision.
Design:
This is a qualitative, face-to-face, one-to-one in-depth interview study. We recruited our participants using a purposive sampling strategy. Semistructural outlines were used to guide the interviews. The interviews were digitally recorded, transcribed and analysed using a thematic framework method with NVivo V.10.0.
Setting:
Guangdong Province in China.
Participants:
This study involved three key stakeholders of pregnancy care for women with T1D: 29 women with T1D of childbearing age (aged 18–50 years), 16 family members (husbands, parents and parents-in-law of women with T1D) and 35 relevant healthcare providers (HCPs).
Results:
We found that women with T1D and the family members had a more pessimistic attitude towards pregnancy outcomes, which was different from the more positive view of HCPs. However, all three stakeholders shared the following perspectives regarding pregnancy-related care for women with T1D: (1) lack of knowledge and access to education, (2) lack of multidisciplinary cooperation, (3) education should be started earlier in adulthood, (3) positive role of peer support, and (4) hope for future training of HCPs for relevant knowledge and skills specified for T1D and pregnancy with T1D.
Conclusions:
An immense gap was identified between the needs of women with T1D regarding pregnancy-related care and current care provision in China. These findings suggest that education be provided to patients and HCPs, and the role of professional and multidisciplinary support should be enhanced to optimise pregnancy care for women with T1D in China.
Description
Citation
Luo, S., Yan, J., Yang, D., Xiong, S., Wang, C., Guo, Y., Yao, B., Weng, J., & Zheng, X. (2022). Current practice, attitude and views of providing pregnancy care for women with type 1 diabetes in China: a qualitative study. BMJ open, 12(11), e061657. https://doi.org/10.1136/bmjopen-2022-061657
Publisher
BMJ Open