Factors influencing pregnancy planning of multi-ethnic Asian women with diabetes: A qualitative study
Pregnancy planning varies among women with diabetes. Observing that the literature examining the factors affecting diabetic women's pregnancy intentions in multi-ethnic Asian populations is limited, we sought to explore these factors to give a better perspective on these women's pregnancy...
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| Veröffentlicht in: | PloS one 2020-12, Vol.15 (12), p.e0242690-e0242690 |
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| description | Pregnancy planning varies among women with diabetes. Observing that the literature examining the factors affecting diabetic women's pregnancy intentions in multi-ethnic Asian populations is limited, we sought to explore these factors to give a better perspective on these women's pregnancy planning.
This qualitative study used individual in-depth interviews to capture the views and experiences of non-pregnant diabetic women of reproductive age in four public health clinics in a southwestern state of peninsular Malaysia from May 2016 to February 2017. The participants were purposively sampled according to ethnicity and were interviewed using a semi-structured topic guide. Interviews were audio-recorded, and transcripts were analysed using thematic analysis.
From the 33 interviews that were analysed, four important factors influencing participants' decisions regarding pregnancy planning were identified. Participants' perception of poor pregnancy outcomes due to advanced age and medical condition was found to have an impact. However, despite these fears and negative relationships with doctors, personal, family and cultural influences supported by religious 'up to God' beliefs took centre stage in the pregnancy intention of some participants. Participants demonstrated a variety of understandings of pregnancy planning. They outlined some activities for pregnancy preparation, although many also reported limited engagement with pre-pregnancy care.
This study emphasised the known dilemma experienced by diabetic women considering their desire for an ideal family structure against their perceived pregnancy risks, heterogeneous religious beliefs and the impact of cultural demands on pregnancy intention. This study urges healthcare providers to increase their engagement with the women in pregnancy planning in a more personalised approach. |
| doi_str_mv | 10.1371/journal.pone.0242690 |
| format | Article |
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This qualitative study used individual in-depth interviews to capture the views and experiences of non-pregnant diabetic women of reproductive age in four public health clinics in a southwestern state of peninsular Malaysia from May 2016 to February 2017. The participants were purposively sampled according to ethnicity and were interviewed using a semi-structured topic guide. Interviews were audio-recorded, and transcripts were analysed using thematic analysis.
From the 33 interviews that were analysed, four important factors influencing participants' decisions regarding pregnancy planning were identified. Participants' perception of poor pregnancy outcomes due to advanced age and medical condition was found to have an impact. However, despite these fears and negative relationships with doctors, personal, family and cultural influences supported by religious 'up to God' beliefs took centre stage in the pregnancy intention of some participants. Participants demonstrated a variety of understandings of pregnancy planning. They outlined some activities for pregnancy preparation, although many also reported limited engagement with pre-pregnancy care.
This study emphasised the known dilemma experienced by diabetic women considering their desire for an ideal family structure against their perceived pregnancy risks, heterogeneous religious beliefs and the impact of cultural demands on pregnancy intention. This study urges healthcare providers to increase their engagement with the women in pregnancy planning in a more personalised approach.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0242690</identifier><identifier>PMID: 33270663</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Asian Continental Ancestry Group ; Behavior ; Beliefs, opinions and attitudes ; Clinical Decision-Making ; Data analysis ; Data collection ; Decision analysis ; Demographic aspects ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus - epidemiology ; Diabetics ; Dietary Supplements ; Ethnic factors ; Ethnic Groups ; Family planning ; Family Planning Services ; Female ; Folic Acid - pharmacology ; Gestational diabetes ; Health aspects ; Health Knowledge, Attitudes, Practice ; Health Personnel ; Health risks ; Health sciences ; Humans ; Interviews ; Medical research ; Medicine ; Medicine and Health Sciences ; Minority & ethnic groups ; People and Places ; Physicians ; Pregnancy ; Prenatal Care ; Primary care ; Privacy ; Public health ; Qualitative Research ; Risk Factors ; Social aspects ; Social Sciences ; Women patients ; Womens health</subject><ispartof>PloS one, 2020-12, Vol.15 (12), p.e0242690-e0242690</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Z. I. et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Z. I. et al 2020 Z. I. et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c762t-cc341ebebb8c466235289898ce11c450ee3ebff9e67cc65b0d3df8279b9044e83</citedby><cites>FETCH-LOGICAL-c762t-cc341ebebb8c466235289898ce11c450ee3ebff9e67cc65b0d3df8279b9044e83</cites><orcidid>0000-0002-7770-7966</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714241/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714241/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33270663$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kiguli, Juliet</contributor><creatorcontrib>Z I, Irmi</creatorcontrib><creatorcontrib>C J, Ng</creatorcontrib><creatorcontrib>P Y, Lee</creatorcontrib><creatorcontrib>N, Hussein</creatorcontrib><title>Factors influencing pregnancy planning of multi-ethnic Asian women with diabetes: A qualitative study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Pregnancy planning varies among women with diabetes. Observing that the literature examining the factors affecting diabetic women's pregnancy intentions in multi-ethnic Asian populations is limited, we sought to explore these factors to give a better perspective on these women's pregnancy planning.
This qualitative study used individual in-depth interviews to capture the views and experiences of non-pregnant diabetic women of reproductive age in four public health clinics in a southwestern state of peninsular Malaysia from May 2016 to February 2017. The participants were purposively sampled according to ethnicity and were interviewed using a semi-structured topic guide. Interviews were audio-recorded, and transcripts were analysed using thematic analysis.
From the 33 interviews that were analysed, four important factors influencing participants' decisions regarding pregnancy planning were identified. Participants' perception of poor pregnancy outcomes due to advanced age and medical condition was found to have an impact. However, despite these fears and negative relationships with doctors, personal, family and cultural influences supported by religious 'up to God' beliefs took centre stage in the pregnancy intention of some participants. Participants demonstrated a variety of understandings of pregnancy planning. They outlined some activities for pregnancy preparation, although many also reported limited engagement with pre-pregnancy care.
This study emphasised the known dilemma experienced by diabetic women considering their desire for an ideal family structure against their perceived pregnancy risks, heterogeneous religious beliefs and the impact of cultural demands on pregnancy intention. 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influencing pregnancy planning of multi-ethnic Asian women with diabetes: A qualitative study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-12-03</date><risdate>2020</risdate><volume>15</volume><issue>12</issue><spage>e0242690</spage><epage>e0242690</epage><pages>e0242690-e0242690</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Pregnancy planning varies among women with diabetes. Observing that the literature examining the factors affecting diabetic women's pregnancy intentions in multi-ethnic Asian populations is limited, we sought to explore these factors to give a better perspective on these women's pregnancy planning.
This qualitative study used individual in-depth interviews to capture the views and experiences of non-pregnant diabetic women of reproductive age in four public health clinics in a southwestern state of peninsular Malaysia from May 2016 to February 2017. The participants were purposively sampled according to ethnicity and were interviewed using a semi-structured topic guide. Interviews were audio-recorded, and transcripts were analysed using thematic analysis.
From the 33 interviews that were analysed, four important factors influencing participants' decisions regarding pregnancy planning were identified. Participants' perception of poor pregnancy outcomes due to advanced age and medical condition was found to have an impact. However, despite these fears and negative relationships with doctors, personal, family and cultural influences supported by religious 'up to God' beliefs took centre stage in the pregnancy intention of some participants. Participants demonstrated a variety of understandings of pregnancy planning. They outlined some activities for pregnancy preparation, although many also reported limited engagement with pre-pregnancy care.
This study emphasised the known dilemma experienced by diabetic women considering their desire for an ideal family structure against their perceived pregnancy risks, heterogeneous religious beliefs and the impact of cultural demands on pregnancy intention. This study urges healthcare providers to increase their engagement with the women in pregnancy planning in a more personalised approach.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33270663</pmid><doi>10.1371/journal.pone.0242690</doi><tpages>e0242690</tpages><orcidid>https://orcid.org/0000-0002-7770-7966</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Asian Continental Ancestry Group Behavior Beliefs, opinions and attitudes Clinical Decision-Making Data analysis Data collection Decision analysis Demographic aspects Diabetes Diabetes mellitus Diabetes Mellitus - epidemiology Diabetics Dietary Supplements Ethnic factors Ethnic Groups Family planning Family Planning Services Female Folic Acid - pharmacology Gestational diabetes Health aspects Health Knowledge, Attitudes, Practice Health Personnel Health risks Health sciences Humans Interviews Medical research Medicine Medicine and Health Sciences Minority & ethnic groups People and Places Physicians Pregnancy Prenatal Care Primary care Privacy Public health Qualitative Research Risk Factors Social aspects Social Sciences Women patients Womens health |
| title | Factors influencing pregnancy planning of multi-ethnic Asian women with diabetes: A qualitative study |
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