The holistic maternity care needs of women with Gestational Diabetes Mellitus: A systematic review with thematic synthesis.
Consumer needs
GDM
Gestational diabetes mellitus
Holistic care
Systematic review
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
06 Sep 2023
06 Sep 2023
Historique:
received:
25
05
2023
revised:
16
08
2023
accepted:
17
08
2023
medline:
9
9
2023
pubmed:
9
9
2023
entrez:
8
9
2023
Statut:
aheadofprint
Résumé
Models of care for women with gestational diabetes mellitus (GDM) have evolved in an ad hoc way and do not meet women's needs. GDM affects 50,000 Australian women per annum with prevalence quadrupling in the last ten years. Many health services are struggling to provide a quality service. People with diabetes are calling for care that focuses on their wellbeing more broadly. To examine the holistic (emotional, social, economic, and spiritual) care needs of women with GDM. Qualitative and mixed-methods studies capturing the healthcare experiences of women with GDM were searched for in CINAHL, Medline, Web of Science and Scopus. English-language studies published between 2011 and 2023 were included. Quality of studies was assessed using Crowe Critical Appraisal Tool and NVIVO was used to identify key themes and synthesise data. Twenty-eight studies were included, representing the experiences of 958 women. Five themes reflect women's holistic needs through their journey from initial diagnosis to postpartum: psychological impact, information and education, making change for better health, support, and care transition. The biomedical, fetal-centric model of care neglects the woman's holistic wellbeing resulting in high levels of unmet need. Discontinuity between tertiary and primary services results in a missed opportunity to assist women to make longer term changes that would benefit themselves (and their families) into the future. The provision of holistic models of care for this cohort is pivotal to improving clinical outcomes and the experiences of women with GDM.
Sections du résumé
PROBLEM
OBJECTIVE
Models of care for women with gestational diabetes mellitus (GDM) have evolved in an ad hoc way and do not meet women's needs.
BACKGROUND
BACKGROUND
GDM affects 50,000 Australian women per annum with prevalence quadrupling in the last ten years. Many health services are struggling to provide a quality service. People with diabetes are calling for care that focuses on their wellbeing more broadly.
AIM
OBJECTIVE
To examine the holistic (emotional, social, economic, and spiritual) care needs of women with GDM.
METHODS
METHODS
Qualitative and mixed-methods studies capturing the healthcare experiences of women with GDM were searched for in CINAHL, Medline, Web of Science and Scopus. English-language studies published between 2011 and 2023 were included. Quality of studies was assessed using Crowe Critical Appraisal Tool and NVIVO was used to identify key themes and synthesise data.
FINDINGS
RESULTS
Twenty-eight studies were included, representing the experiences of 958 women. Five themes reflect women's holistic needs through their journey from initial diagnosis to postpartum: psychological impact, information and education, making change for better health, support, and care transition.
DISCUSSION
CONCLUSIONS
The biomedical, fetal-centric model of care neglects the woman's holistic wellbeing resulting in high levels of unmet need. Discontinuity between tertiary and primary services results in a missed opportunity to assist women to make longer term changes that would benefit themselves (and their families) into the future.
CONCLUSIONS
CONCLUSIONS
The provision of holistic models of care for this cohort is pivotal to improving clinical outcomes and the experiences of women with GDM.
Identifiants
pubmed: 37684120
pii: S1871-5192(23)00259-7
doi: 10.1016/j.wombi.2023.08.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.