Dataset Information

Women's and healthcare providers' perceptions of long-term complications associated with hypertension and diabetes in pregnancy: a qualitative study.

ABSTRACT:

Objectives

A diagnosis of hypertensive disorders during pregnancy (HDPs) or gestational diabetes mellitus (GDM) is highly predictive of women at increased risk of developing chronic hypertension, Type 2 diabetes, and cardiovascular disease. This study investigates perceptions of women and healthcare providers in rural India regarding these long-term risks.

Design

Qualitative study using modified grounded theory.

Setting

Two states in rural India: Haryana and Andhra Pradesh.

Population

Pregnant and postpartum women, community health workers (CHWs), primary care physicians, obstetricians, laboratory technicians, and healthcare officials.

Methods

In-depth interviews and focus group discussions explored: (1) priorities for high-risk pregnant women; (2) detection and management of HDPs and GDM; (3) postpartum management, and (4) knowledge of long-term sequelae of high-risk conditions. A thematic analysis was undertaken.

Results

Seven focus group discussions and 11 in-depth interviews (n = 71 participants) were performed. The key priority area for high-risk pregnant women was anaemia. Blood pressure measurement was routinely embedded in antenatal care; however, postpartum follow up and knowledge of the long-term complications were limited. GDM was not considered a common problem, although significant variations and challenges to GDM screening were identified. Knowledge of the long-term sequelae of GDM with regard to an increased risk of Type 2 diabetes and cardiovascular disease among doctors was minimal.

Conclusions

There is a need for improved education, standardisation of testing and postpartum follow up of HDPs and GDM in rural Indian settings.

Funding

SN is supported by an MRC Clinical Research Training Fellowship (MR/R017182/1). The George Institute for Global Health Global Women's Health programme provided financial support for the research assistant and fieldwork costs in India.

Tweetable abstract

Improved education and postpartum care of women with hypertension and diabetes in pregnancy in rural India are needed to prevent long-term risks.

SUBMITTER: Nagraj S

PROVIDER: S-EPMC6771686 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Publications

Women's and healthcare providers' perceptions of long-term complications associated with hypertension and diabetes in pregnancy: a qualitative study.

Nagraj S S Hinton L L Praveen D D Kennedy S S Norton R R Hirst J J

BJOG : an international journal of obstetrics and gynaecology 20190816

<h4>Objectives</h4>A diagnosis of hypertensive disorders during pregnancy (HDPs) or gestational diabetes mellitus (GDM) is highly predictive of women at increased risk of developing chronic hypertension, Type 2 diabetes, and cardiovascular disease. This study investigates perceptions of women and healthcare providers in rural India regarding these long-term risks.<h4>Design</h4>Qualitative study using modified grounded theory.<h4>Setting</h4>Two states in rural India: Haryana and Andhra Pradesh. ...[more]

PMID: 31257668

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Dataset Information

Women's and healthcare providers' perceptions of long-term complications associated with hypertension and diabetes in pregnancy: a qualitative study.

Objectives

Design

Setting

Population

Methods

Results

Conclusions

Funding

Tweetable abstract

Publications

Women's and healthcare providers' perceptions of long-term complications associated with hypertension and diabetes in pregnancy: a qualitative study.

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