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A midwifery challenge diabetes: supporting well-being in early pregnant women with type 1 diabetes
Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; University of Gothenburg Centre for Person-Centred care, Gothenburg, Sweden. (Komplikationer under de reproduktiva åren)
Örebro University, School of Health Sciences. The Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud & Vestfold University College, Kongsberg, Norway. (Komplikationer under de repdouktiva åren)ORCID iD: 0000-0002-2577-1632
Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; University of Gothenburg Centre for Person-Centred care, Gothenburg, Sweden. (Komplikationer under de repdouktiva åren)
Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; University of Gothenburg Centre for Person-Centred care, Gothenburg, Sweden. (Komplikationer under de repdouktiva åren)
2017 (English)In: ICM 31th Congress, 2017Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Pregnant women with type 1 diabetes face many obstacles in their struggle to achieve normal blood glucose levels and thus optimise the chanceto give birth to a healthy child. It is a challenge for midwives to support women’s well-being during pregnancy and especially in relation to chronicillness such as diabetes. However, little is known about well-being and diabetes management in early pregnant women with type 1 diabetes.

Purpose/Objective: To explore well-being and diabetes management in women with Type 1 diabetes in early pregnancy and to investigate associations betweenperceived well-being, diabetes management and maternal characteristics.

Method: Data was collected in early pregnancy from 168 Swedish pregnant women with Type 1 diabetes, including information from their medical recordsand self- reported questionnaires measuring aspects of health/well-being, diabetes management and socio demographics.

Key Findings: Relatively high scores of diabetes self-management (SWE-DES-10: 3.91 (0.51)) and self-perceived health (excellent (6.5%), very good (42.3%),good (38.7%), fair (11.3%) and poor (1.2%)) were reported. Moderate scores for general well-being (WBQ-12: 22.6 (5.7)) and sense ofcoherence (SOC-13: 68.9 (9.7), moderate/low scores for hypoglycemia fear (SWE-PAID-20: 27.1 (15.9)) and low scores of diabetes-distress(SWE-PAID-20 27.1 (15.9)) were given. Higher capability of diabetes self-management showed positive correlations with self-perceived health (r s=-0.41, p<.0001) and well-being (rs =0.34, p<.0001) as well as negative correlations with diabetes distress (r s =-0.51, p<.0001) and hypoglycemiaworries (rs =-0.27, p=0.0009).

Discussion: Midwives are in a unique position to uphold well-being in women with type 1 diabetes in early pregnancy. Based on this result it could be topromote women´s self-awareness, strengthen their own capabilities in terms of goal achievement, and to support them to handle diabetes relateddistress as well as possible fear of hypoglycemia.

Place, publisher, year, edition, pages
2017.
Keywords [en]
Midwife, supporting Well-Being, Women with type 1 diabetes
National Category
Gynaecology, Obstetrics and Reproductive Medicine Nursing
Research subject
Obstetrics and Gynaecology
Identifiers
URN: urn:nbn:se:oru:diva-61540OAI: oai:DiVA.org:oru-61540DiVA, id: diva2:1149320
Conference
ICM 31th Congress 2017, 18-22 June, Toronto, Canada
Projects
MoDiab-Web
Note

Funding Agencies:

•the Swedish Diabetes Association

•University of Gothenburg Centre for Person-centred Care

•Health & Medical Care Committee of the Regional Executive Board, Region Västra Götaland

•University of Gothenburg Institute of Health and Care Sciences together with the Sahlgrenska Academy

Available from: 2017-10-15 Created: 2017-10-15 Last updated: 2025-02-11Bibliographically approved

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Adolfsson, Annsofie

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