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How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China
BACKGROUND: Gestational diabetes mellitus (GDM) is a condition in which women develop hyperglycemia during pregnancy, and is associated with long-term health burden on both mother and their offspring, such as future type 2 diabetes mellitus (T2DM). Although breastfeeding was expected to mitigate met...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9574211/ https://www.ncbi.nlm.nih.gov/pubmed/36263317 http://dx.doi.org/10.3389/fendo.2022.955484 |
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author | Qian, Pan Duan, Lixia Lin, Rujiao Du, Xiwang Wang, Dan Liu, Chenxi Zeng, Tieying |
author_facet | Qian, Pan Duan, Lixia Lin, Rujiao Du, Xiwang Wang, Dan Liu, Chenxi Zeng, Tieying |
author_sort | Qian, Pan |
collection | PubMed |
description | BACKGROUND: Gestational diabetes mellitus (GDM) is a condition in which women develop hyperglycemia during pregnancy, and is associated with long-term health burden on both mother and their offspring, such as future type 2 diabetes mellitus (T2DM). Although breastfeeding was expected to mitigate metabolic sequelae for both mothers and their newborns, the prevalence of breastfeeding in GDM mothers are sub-optimal worldwide. OBJECTIVE: To explore the experience of disease among mothers with GDM and how they develop feeding behaviors. METHODS: This study was conducted in three branches of an integrated tertiary hospital in the central area of China. Mothers who were diagnosed with GDM, had no other complications, and gave birth before no more than 6 months were approached based on a purposive sampling. GDM mothers’ experience of the disease and breastfeeding were collected via in-depth interviews. A theory-driven thematic analysis based on Health Belief Model (HBM) was applied for data analysis. Inductive reasoning was used to identify emerging themes which were not included in HBM. RESULTS: 16 GDM mothers were included in the current study, with nine using breastfeeding, six mixed feeding and one artificial feeding, respectively. Nine themes were identified, including: 1) GDM diagnosis and severity; 2) information searching and GDM knowledge;3) GDM management; 4) perceived susceptibility of future diabetes;5) perceived severity of future diabetes;6) perceived benefits of breastfeeding;7) perceived barriers of breastfeeding;8) decision making process of feeding and social support. Generally, mothers with GDM lack reliable sources of information, considered the disease as a minor and transient illness during pregnancy, and failed to realize the long-term risk of GDM and the protective effect of breastfeeding to themselves and their babies. They rarely considered GDM in their feeding decision. Instead, the formation of feeding behaviors depends on the balance between the benefits and barriers of breastfeeding as well as the level of social support. CONCLUSION: To promote breastfeeding, a multi-facet intervention targeted on healthcare providers (HCPs), GDM mothers and their networks was important to help GDM mothers better and correctly understand the disease and breastfeeding, and increase their capacity of breastfeeding. |
format | Online Article Text |
id | pubmed-9574211 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95742112022-10-18 How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China Qian, Pan Duan, Lixia Lin, Rujiao Du, Xiwang Wang, Dan Liu, Chenxi Zeng, Tieying Front Endocrinol (Lausanne) Endocrinology BACKGROUND: Gestational diabetes mellitus (GDM) is a condition in which women develop hyperglycemia during pregnancy, and is associated with long-term health burden on both mother and their offspring, such as future type 2 diabetes mellitus (T2DM). Although breastfeeding was expected to mitigate metabolic sequelae for both mothers and their newborns, the prevalence of breastfeeding in GDM mothers are sub-optimal worldwide. OBJECTIVE: To explore the experience of disease among mothers with GDM and how they develop feeding behaviors. METHODS: This study was conducted in three branches of an integrated tertiary hospital in the central area of China. Mothers who were diagnosed with GDM, had no other complications, and gave birth before no more than 6 months were approached based on a purposive sampling. GDM mothers’ experience of the disease and breastfeeding were collected via in-depth interviews. A theory-driven thematic analysis based on Health Belief Model (HBM) was applied for data analysis. Inductive reasoning was used to identify emerging themes which were not included in HBM. RESULTS: 16 GDM mothers were included in the current study, with nine using breastfeeding, six mixed feeding and one artificial feeding, respectively. Nine themes were identified, including: 1) GDM diagnosis and severity; 2) information searching and GDM knowledge;3) GDM management; 4) perceived susceptibility of future diabetes;5) perceived severity of future diabetes;6) perceived benefits of breastfeeding;7) perceived barriers of breastfeeding;8) decision making process of feeding and social support. Generally, mothers with GDM lack reliable sources of information, considered the disease as a minor and transient illness during pregnancy, and failed to realize the long-term risk of GDM and the protective effect of breastfeeding to themselves and their babies. They rarely considered GDM in their feeding decision. Instead, the formation of feeding behaviors depends on the balance between the benefits and barriers of breastfeeding as well as the level of social support. CONCLUSION: To promote breastfeeding, a multi-facet intervention targeted on healthcare providers (HCPs), GDM mothers and their networks was important to help GDM mothers better and correctly understand the disease and breastfeeding, and increase their capacity of breastfeeding. Frontiers Media S.A. 2022-10-03 /pmc/articles/PMC9574211/ /pubmed/36263317 http://dx.doi.org/10.3389/fendo.2022.955484 Text en Copyright © 2022 Qian, Duan, Lin, Du, Wang, Liu and Zeng https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Endocrinology Qian, Pan Duan, Lixia Lin, Rujiao Du, Xiwang Wang, Dan Liu, Chenxi Zeng, Tieying How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China |
title | How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China |
title_full | How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China |
title_fullStr | How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China |
title_full_unstemmed | How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China |
title_short | How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China |
title_sort | how breastfeeding behavior develops in women with gestational diabetes mellitus: a qualitative study based on health belief model in china |
topic | Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9574211/ https://www.ncbi.nlm.nih.gov/pubmed/36263317 http://dx.doi.org/10.3389/fendo.2022.955484 |
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