Mothers’ Perspectives on a Mother/Infant Dyad Postpartum Primary Care Program Following Gestational Diabetes Mellitus: A Qualitative Pilot Study

Author:

Brown Jordyn A.12ORCID,Leonard Melissa3,Clinton Tiffany4,Bower Julie K.1,Gillespie Shannon L.5,Fareed Naleef67,Thomas Nikki2,Prater Laura289,Lorenz Allison3,May Sara3,Voisin Christiane2,Thung Stephen10,Oza-Frank Reena11,Bose Brill Seuli2

Affiliation:

1. Division of Epidemiology, The Ohio State University College of Public Health, Columbus, Ohio

2. Division of General Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio

3. Ohio Colleges of Medicine Government Resource Center, Columbus, Ohio

4. Department of Obstetrics and Gynecology, Henry Ford Health System, Detroit, Michigan

5. The Martha S. Pitzer Center for Women, Children and Youth, The Ohio State College of Nursing, Columbus, Ohio

6. CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, Ohio

7. Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, Ohio

8. Harborview Injury Prevention and Research Center, Harborview Medical Center, University of Washington, Seattle, Washington

9. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington

10. Division of General Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio

11. Bureau of Maternal, Child and Family Health, Ohio Department of Health, Columbus, Ohio

Abstract

Purpose: The purpose of this study is to characterize mothers’ experiences within a mother/infant dyad postpartum primary care program (Dyad) following gestational diabetes mellitus (GDM) to inform improvements in the delivery of care. Methods: A qualitative pilot study of women (n = 10) enrolled in a mother/infant Dyad program was conducted in a primary care practice at a large, urban academic medical center. Respondents were asked a series of open-ended questions about their experience with GDM, the Dyad program, and health behaviors. Interviews were audio-recorded, transcribed verbatim, and analyzed using ground theory with NVivo 12 Plus software. Results: Three key themes emerged: (1) Dyad program experience, (2) implementation of health behavior changes, and (3) acknowledgment of future GDM and type 2 diabetes mellitus (T2DM) health risks. Respondents felt that the program conveniently served mother and infant health care needs in a single appointment. Respondents also valued support from primary care providers when implementing health behavior changes. The Dyad program provided an opportunity for respondents to understand their current and future risk for developing GDM and T2DM. Conclusions: Postpartum women enrolled in the Dyad program received highly personalized primary care services. The results of our study will help integrate patient-centered strategies into models for GDM care to maintain patient engagement in postpartum clinical services.

Publisher

SAGE Publications

Subject

Health Professions (miscellaneous),Health (social science),Endocrinology, Diabetes and Metabolism

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