Barriers to and facilitators of postpartum follow-up care in women with recent gestational diabetes mellitus: A qualitative study

Wendy Bennett, Christopher S. Ennen, Joseph Carrese, Felicia Hill-Briggs, David Levine, Wanda K. Nicholson, Jeanne Clark

Research output: Contribution to journalArticle

Abstract

Objectives: Women with a history of gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes (T2DM) but often do not return for follow-up care. We explored barriers to and facilitators of postpartum follow-up care in women with recent GDM. Methods: We conducted 22 semistructured interviews, 13 in person and 9 by telephone, that were audiotaped and transcribed. Two investigators independently coded transcripts. We identified categories of themes and subthemes. Atlas.ti qualitative software (Berlin, Germany) was used to assist data analysis and management. Results: Mean age was 31.5 years (standard deviation) [SD] 4.5), 63% were nonwhite, mean body mass index (BMI) was 25.9 kg/m2 (SD 6.2), and 82% attended a postpartum visit. We identified four general themes that illustrated barriers and six that illustrated facilitators to postpartum follow-up care. Feelings of emotional stress due to adjusting to a new baby and the fear of receiving a diabetes diagnosis at the visit were identified as key barriers; child care availability and desire for a checkup were among the key facilitators to care. Conclusions: Women with recent GDM report multiple barriers and facilitators of postpartum follow-up care. Our results will inform the development of interventions to improve care for these women to reduce subsequent diabetes risk.

Original languageEnglish (US)
Pages (from-to)239-245
Number of pages7
JournalJournal of Women's Health
Volume20
Issue number2
DOIs
StatePublished - Feb 1 2011

Fingerprint

Aftercare
Gestational Diabetes
Postpartum Period
Atlases
Berlin
Child Care
Psychological Stress
Telephone
Type 2 Diabetes Mellitus
Fear
Germany
Emotions
Body Mass Index
Software
Research Personnel
Interviews

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{1b25980f4e9f4bc094b556ae9352656c,
title = "Barriers to and facilitators of postpartum follow-up care in women with recent gestational diabetes mellitus: A qualitative study",
abstract = "Objectives: Women with a history of gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes (T2DM) but often do not return for follow-up care. We explored barriers to and facilitators of postpartum follow-up care in women with recent GDM. Methods: We conducted 22 semistructured interviews, 13 in person and 9 by telephone, that were audiotaped and transcribed. Two investigators independently coded transcripts. We identified categories of themes and subthemes. Atlas.ti qualitative software (Berlin, Germany) was used to assist data analysis and management. Results: Mean age was 31.5 years (standard deviation) [SD] 4.5), 63{\%} were nonwhite, mean body mass index (BMI) was 25.9 kg/m2 (SD 6.2), and 82{\%} attended a postpartum visit. We identified four general themes that illustrated barriers and six that illustrated facilitators to postpartum follow-up care. Feelings of emotional stress due to adjusting to a new baby and the fear of receiving a diabetes diagnosis at the visit were identified as key barriers; child care availability and desire for a checkup were among the key facilitators to care. Conclusions: Women with recent GDM report multiple barriers and facilitators of postpartum follow-up care. Our results will inform the development of interventions to improve care for these women to reduce subsequent diabetes risk.",
author = "Wendy Bennett and Ennen, {Christopher S.} and Joseph Carrese and Felicia Hill-Briggs and David Levine and Nicholson, {Wanda K.} and Jeanne Clark",
year = "2011",
month = "2",
day = "1",
doi = "10.1089/jwh.2010.2233",
language = "English (US)",
volume = "20",
pages = "239--245",
journal = "Journal of Women's Health",
issn = "1540-9996",
publisher = "Mary Ann Liebert Inc.",
number = "2",

}

TY - JOUR

T1 - Barriers to and facilitators of postpartum follow-up care in women with recent gestational diabetes mellitus

T2 - A qualitative study

AU - Bennett, Wendy

AU - Ennen, Christopher S.

AU - Carrese, Joseph

AU - Hill-Briggs, Felicia

AU - Levine, David

AU - Nicholson, Wanda K.

AU - Clark, Jeanne

PY - 2011/2/1

Y1 - 2011/2/1

N2 - Objectives: Women with a history of gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes (T2DM) but often do not return for follow-up care. We explored barriers to and facilitators of postpartum follow-up care in women with recent GDM. Methods: We conducted 22 semistructured interviews, 13 in person and 9 by telephone, that were audiotaped and transcribed. Two investigators independently coded transcripts. We identified categories of themes and subthemes. Atlas.ti qualitative software (Berlin, Germany) was used to assist data analysis and management. Results: Mean age was 31.5 years (standard deviation) [SD] 4.5), 63% were nonwhite, mean body mass index (BMI) was 25.9 kg/m2 (SD 6.2), and 82% attended a postpartum visit. We identified four general themes that illustrated barriers and six that illustrated facilitators to postpartum follow-up care. Feelings of emotional stress due to adjusting to a new baby and the fear of receiving a diabetes diagnosis at the visit were identified as key barriers; child care availability and desire for a checkup were among the key facilitators to care. Conclusions: Women with recent GDM report multiple barriers and facilitators of postpartum follow-up care. Our results will inform the development of interventions to improve care for these women to reduce subsequent diabetes risk.

AB - Objectives: Women with a history of gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes (T2DM) but often do not return for follow-up care. We explored barriers to and facilitators of postpartum follow-up care in women with recent GDM. Methods: We conducted 22 semistructured interviews, 13 in person and 9 by telephone, that were audiotaped and transcribed. Two investigators independently coded transcripts. We identified categories of themes and subthemes. Atlas.ti qualitative software (Berlin, Germany) was used to assist data analysis and management. Results: Mean age was 31.5 years (standard deviation) [SD] 4.5), 63% were nonwhite, mean body mass index (BMI) was 25.9 kg/m2 (SD 6.2), and 82% attended a postpartum visit. We identified four general themes that illustrated barriers and six that illustrated facilitators to postpartum follow-up care. Feelings of emotional stress due to adjusting to a new baby and the fear of receiving a diabetes diagnosis at the visit were identified as key barriers; child care availability and desire for a checkup were among the key facilitators to care. Conclusions: Women with recent GDM report multiple barriers and facilitators of postpartum follow-up care. Our results will inform the development of interventions to improve care for these women to reduce subsequent diabetes risk.

UR - http://www.scopus.com/inward/record.url?scp=79951749165&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79951749165&partnerID=8YFLogxK

U2 - 10.1089/jwh.2010.2233

DO - 10.1089/jwh.2010.2233

M3 - Article

C2 - 21265645

AN - SCOPUS:79951749165

VL - 20

SP - 239

EP - 245

JO - Journal of Women's Health

JF - Journal of Women's Health

SN - 1540-9996

IS - 2

ER -