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Transition to motherhood in type 1 diabetes : design of the pregnancy and postnatal well-being in transition questionnaires

Rasmussen, Bodil, Dunning, Trisha, Hendrieckx, Christel, Botti, Mari and Speight, Jane 2013, Transition to motherhood in type 1 diabetes : design of the pregnancy and postnatal well-being in transition questionnaires, BMC pregnancy and childbirth, vol. 13, article : 54, pp. 1-11.

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Title Transition to motherhood in type 1 diabetes : design of the pregnancy and postnatal well-being in transition questionnaires
Author(s) Rasmussen, Bodil
Dunning, Trisha
Hendrieckx, Christel
Botti, Mari
Speight, Jane
Journal name BMC pregnancy and childbirth
Volume number 13
Season article : 54
Start page 1
End page 11
Total pages 11
Publisher BioMed Central
Place of publication London, England
Publication date 2013
ISSN 1471-2393
Keyword(s) T1DM (type 1 diabetes)
pregnancy
postnatal
questionnaire
transitions
self-management
social support
psychological well-being
Summary Background : Life transitions are associated with high levels of stress affecting health behaviours among people with Type 1 diabetes. Transition to motherhood is a major transition with potential complications accelerated by pregnancy with risks of adverse childbirth outcomes and added anxiety and worries about pregnancy outcomes. Further, preparing and going through pregnancy requires vigilant attention to a diabetes management regimen and detailed planning of everyday activities with added stress on women. Psychological and social well-being during and after pregnancy are integral for good pregnancy outcomes for both mother and baby. The aim of this study is to establish the face and content validity of two novel measures assessing the well-being of women with type 1 diabetes in their transition to motherhood, 1) during pregnancy and 2) during the postnatal period.

Methods : The approach to the development of the Pregnancy and Postnatal Well-being in T1DM Transition questionnaires was based on a four-stage pre-testing process; systematic overview of literature, items development, piloting testing of questionnaire and refinement of questionnaire. The questionnaire was reviewed at every stage by expert clinicians, researchers and representatives from consumer groups. The cognitive debriefing approach confirmed relevance of issues and identified additional items.

Results : The literature review and interviews identified three main areas impacting on the women’s postnatal self-management; (1) psychological well-being; (2) social environment, (3) physical (maternal and fetal) well-being. The cognitive debriefing in pilot testing of the questionnaire identified that immediate postnatal period was difficult, particularly when the women were breastfeeding and felt depressed.

Conclusions : The questionnaires fill an important gap by systematically assessing the psychosocial needs of women with type 1 diabetes during pregnancy and in the immediate postnatal period. The questionnaires can be used in larger data collection to establish psychometric properties. The questionnaires potentially play a key role in prospective research to determine the self-management and psychological needs of women with type 1 diabetes transitioning to motherhood and to evaluate health education interventions.
Language eng
Field of Research 111002 Clinical Nursing: Primary (Preventative)
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, BioMed Central
Persistent URL http://hdl.handle.net/10536/DRO/DU:30052106

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Created: Tue, 23 Apr 2013, 15:19:01 EST by Jane Moschetti

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.