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Designing a lifestyle intervention to reduce risk of type 2 diabetes in postpartum mothers following gestational diabetes: An online survey with mothers and health professionals

  • Amanda P. Moore
    Affiliations
    The Diabetes and Nutritional Sciences Division, Faculty of Life Sciences & Medicine, King's College London, UK
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  • Maria I. D’Amico
    Correspondence
    Corresponding author at: Women's Health Research Unit, Centre for Primary Care and Public Health, Blizard Institute, Barts and The London School of Medicine and Dentistry, London, UK.
    Affiliations
    Women’s Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University London, London, UK
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  • Natalie A.M. Cooper
    Affiliations
    Women’s Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University London, London, UK
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  • Shakila Thangaratinam
    Affiliations
    Women’s Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University London, London, UK

    Multidisciplinary Evidence Synthesis Hub (mEsh), Barts and the London School of Medicine and Dentistry, Queen Mary University London, London, UK
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Published:November 14, 2017DOI:https://doi.org/10.1016/j.ejogrb.2017.11.012

      Abstract

      Objective

      The aim of this study was to identify what components of a postpartum lifestyle intervention would engage postpartum mothers who had a diagnosis of gestational diabetes.

      Study design

      Two online surveys were conducted, one involving postnatal mothers with GDM (n = 83), and a second for health professionals (n = 46).

      Results

      Seventy-eight percent of mothers were aware that healthy eating, exercise and weight management were all important to reduce risk of subsequent type 2 diabetes. However, 80% of women in this survey were not ready to engage in a postpartum lifestyle intervention within the first 6 months of giving birth; in contrast 52% of health professionals recommended they should be engaged in the first six weeks. Group sessions were the most commonly chosen format to deliver an intervention (30%). A community setting was preferred to a medical one. Mothers wanted recipe ideas (95%) in preference to general dietary advice (76%) or cooking skills courses (39%). Walking was the main form of exercise for 79% of mothers in this sample. Women highlighted difficulty in focusing on their own health goals because of competing demands of looking after a baby (41% agreed, Median 3, IQR 2), tiredness (65% agreed, Md 4, IQR 1) and the need for childcare (64% agreed, Md 4, IQR 2).

      Conclusion

      A walking programme, recipe ideas and weight monitoring may be useful components when designing a postpartum lifestyle intervention. Barriers to engagement are evident and the intervention should allow women to engage at a time that is appropriate for them.

      Keywords

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