Journal article
Attitude and confidence in managing pre-existing type 2 diabetes mellitus during pregnancy among Thai women
Journal of health research, Vol.39(6), pp.541-553
12/24/2025
DOI: 10.56808/2586-940X.1171
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 to 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.
Details
- Title: Subtitle
- Attitude and confidence in managing pre-existing type 2 diabetes mellitus during pregnancy among Thai women
- Creators
- Ratchanok PhonyiamChiao-Hsin TengCatherine S. SullivanAunchalee E.L. PalmquistEric A. HodgesYamnia I. CortésMarianne Baernholdt
- Resource Type
- Journal article
- Publication Details
- Journal of health research, Vol.39(6), pp.541-553
- DOI
- 10.56808/2586-940X.1171
- ISSN
- 2586-940X
- eISSN
- 2586-940X
- Publisher
- COLL PUBLIC HEALTH SCIENCES, CHULALONGKORN UNIV
- Grant note
- Alpha Alpha Chapter of Sigma Theta Tau International Research GrantSigma Small GrantArthur C. Maimon Doctoral Student Research Award
RP received the Alpha Alpha Chapter of Sigma Theta Tau International Research Grant, the Sigma Small Grant, and the Arthur C. Maimon Doctoral Student Research Award to complete this work. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
- Language
- English
- Date published
- 12/24/2025
- Academic Unit
- Nursing
- Record Identifier
- 9985116070402771
Metrics
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