Attitude and Confidence in Managing Pre-existing Type 2 Diabetes Mellitus During Pregnancy Among Thai Women
1
Issued Date
2025-01-01
Resource Type
ISSN
08574421
eISSN
2586940X
Scopus ID
2-s2.0-105029549084
Journal Title
Journal of Health Research
Volume
39
Issue
6
Start Page
541
End Page
553
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Health Research Vol.39 No.6 (2025) , 541-553
Suggested Citation
Phonyiam R., Teng C.H., Sullivan C.S., Palmquist A.E.L., Hodges E.A., Cortes Y.I., Baernholdt M. Attitude and Confidence in Managing Pre-existing Type 2 Diabetes Mellitus During Pregnancy Among Thai Women. Journal of Health Research Vol.39 No.6 (2025) , 541-553. 553. doi:10.56808/2586-940X.1171 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/115158
Title
Attitude and Confidence in Managing Pre-existing Type 2 Diabetes Mellitus During Pregnancy Among Thai Women
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: The trend of rising T2DM prevalence is more pronounced in females and is of particular concern for pregnancy. The rate has jumped from 0.7 % to 1.5 % of all pregnancies over the past 14 years. Additionally, pregnancies affected by T2DM have higher rates of abortion and perinatal mortality compared to those with type 1 diabetes mellitus and gestational diabetes mellitus. The objective of the study was to explore the attitudes and confidence in managing T2DM among Thai women during pregnancy. Methods: This qualitative study was a part of a parent study using a convergent parallel mixed-methods design. A purposive sampling was used. Inclusion criteria included pregnant women aged 20—44 years, diagnosed with T2DM, and able to communicate in Thai. A total of 12 Thai pregnant women with T2DM, with an average age of about 34 years old, and whose pregnancies spanned from 7 to 38 weeks of gestation. Directed content analysis was used for qualitative data analysis. Results: Twelve interviews were completed. Four main themes were identified: 1) attitudes toward diabetes self-management, 2) confidence toward diabetes self-management in pregnancy, 3) varied paths to pregnancy: planned vs. unplanned conception, and 4) navigating adjustments of diabetes self-management in pregnancy. Conclusion: The study highlights the importance of enhancing preconception care and tailoring diabetes management guidance to align with cultural contexts. Supporting pregnant women with diabetes requires a comprehensive approach that incorporates behavioral, sociocultural, and systemic healthcare considerations.