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Cited by 30Gestational Diabetes Research and ManagementDiabetes Management and EducationPregnancy and Medication Impact

A scoping review of gestational diabetes mellitus healthcare: experiences of care reported by pregnant women internationally

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Pham, Sheila, Churruca, Kate, Ellis, Louise A., Braithwaite, Jeffrey·2022·BMC Pregnancy and Childbirth
DOI 10.1186/s12884-022-04931-5PMC PMC9361509
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Abstract

Background: Gestational diabetes mellitus (GDM) is a condition associated with pregnancy that engenders additional healthcare demand. A growing body of research includes empirical studies focused on pregnant women’s GDM healthcare experiences. The aim of this scoping review is to map findings, highlight gaps and investigate the way research has been conducted into the healthcare experiences of women with GDM. Methods: A systematic search of primary research using a number of databases was conducted in September 2021. Studies were included if they had an explicit aim of focusing on GDM and included direct reporting of participants’ experiences of healthcare. Key data from each study was extracted into a purposely-designed form and synthesised using descriptive statistics and thematic analysis. Results: Fifty-seven articles were included in the analysis. The majority of studies used qualitative methodology, and did not have an explicit theoretical orientation. Most studies were conducted in urban areas of high-income countries and recruitment and research was almost fully conducted in clinical and other healthcare settings. Women found inadequate information a key challenge, and support from healthcare providers a critical factor. Experiences of prescribed diet, medication and monitoring greatly varied across settings. Additional costs associated with managing GDM was cited as a problem in some studies. Overall, women reported significant mental distress in relation to their experience of GDM. Conclusions: This scoping review draws together reported healthcare experiences of pregnant women with GDM from around the world. Commonalities and differences in the global patient experience of GDM healthcare are identified.

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  • For others, the experience of both internalised stigma (guilt, shame, fear and anxiety) and externalised stigma (labelling, discrimination, depersonalising and judgment), coupled with burden of care that may include financial strain, increased surveillance, and dietary restriction, can lead to a reduced quality of life and negative pregnancy experiences that can persist post partum.

    “For others, the experience of both internalised stigma (guilt, shame, fear and anxiety) and externalised stigma (labelling, discrimination, depersonalising and judgment), coupled with burden of care that may include financial strain, increased surveillance, and dietary restriction, can lead to a reduced quality of life and negative pregnancy experiences that can persist post partum. 39”

    From Australasian Diabetes in Pregnancy Society ( <scp>ADIPS</scp> ) 2025 consensus recommendations for the screening, diagnosis and classification of gestational diabetes (2025) · cites this paper as [39]

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Cited by

Sorted by citations

Authors
Pham, S., Churruca, K., Ellis, L. A., & Braithwaite, J.
Affiliations
Macquarie University (AU)
Corresponding author
Pham, Sheila
ORCID
Venue
BMC Pregnancy and Childbirth
Publisher
Springer Science and Business Media LLC
Published
2022-08-08
Volume
22
Issue
1
Pages
627-627
ISSN
1471-2393 (ISSN-L)
DOI
10.1186/s12884-022-04931-5
PMC
PMC9361509
OpenAlex
W4290648805
Cited by
30
References
7
Citations by year
2026: 9 · 2025: 6 · 2024: 10 · 2023: 5
FWCI
1.06
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Australian Government
  • Macquarie University
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
Keywords
gestational diabetes mellitus, patient experience, pregnant women, healthcare provider support, patient information, glucose monitoring, health care costs, psychological distress
MeSH terms
Female, Health Facilities, Health Personnel, Humans, Health Knowledge, Attitudes, Practice, Pregnancy, Diabetes, Gestational, Pregnant People, Pregnant Women

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