"Mission impossible"? Midwives' experiences counseling pregnant women with gestational diabetes mellitus

Patient Education and Counseling
Margareta PerssonIngrid Mogren

Abstract

Since not all pregnancy-related complications require hospitalization midwives often provide these women with antenatal care and counseling. This study explored the experiences of midwives providing antenatal care and counseling to pregnant women with gestational diabetes mellitus (GDM). Twelve midwives participated in the interview study performed in the three northernmost counties in Sweden. Grounded theory was used for analysis. The emerging core category was 'Balancing fear of failure'. The unexpected disease increased the demands and the pressure. Three major conflicting situations were revealed. The midwives believed they were obligated to monitor and control the pregnancy, to initiate and motivate the necessary changes in lifestyle and provide empowering relationships with their patients. The fear of failure with these assignments made the midwives chose different strategies to manage the conflicting situations. The midwives described conflicting encounters providing antenatal care to pregnant women with GDM. The fear of failing to fulfill the assignments caused by the GDM made the midwives chose strategies to handle the conflicting encounters. Similar conflicting situations might be present for other health care profess...Continue Reading

References

Mar 1, 1995·The British Journal of Social Psychology·C S Crandall, D Moriarty
Sep 25, 1997·Social Science & Medicine·J S Fogarty
Jul 19, 2005·Midwifery·Inger LindbergKerstin Ohrling
Feb 27, 2008·Diabetes Care·Thomas A BuchananRichard Watanabe

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Citations

Feb 23, 2013·Midwifery·Anna Lena WennbergKatarina Hamberg
Jul 29, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Margareta PerssonIngrid Mogren
Sep 10, 2014·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Anna Lena WennbergAsa Hörnsten
Jul 14, 2011·International Journal of Qualitative Studies on Health and Well-being·Irene SvenningssonBirgitta Gedda
Sep 1, 2017·Scandinavian Journal of Caring Sciences·Line SvenssonHelle Terkildsen Maindal
Jul 2, 2019·MCN. the American Journal of Maternal Child Nursing·Ilana R Azulay ChertokKathryn A Kulasa

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