Abstract
Background: Gestational diabetes rates have increased dramatically in the past two decades and this pattern of
increase appears to relate primarily to the obesity epidemic, older maternal age and migration from world areas of
high GDM risk. Women from disadvantaged and migrant backgrounds are most at risk of developing and of
mismanaging this condition. The aim of the study was to explore the factors that facilitated or inhibited gestational
diabetes self-management among women in a socially deprived area.
Methods: Fifteen pregnant women, with a diagnosis of gestational diabetes, were purposively recruited for this
study. Qualitative semi structured interviews and 1 focus group were conducted when participants were
approximately 28–38 weeks gestation. The study’s theoretical framework was based on interpretative
phenomenology and data was analysed using a thematic analysis approach.
Results: Women in this study identified a number of factors that complicated their task of GDM self-management.
Barriers included: (1) time pressures; (2) physical constraints; (3) social constraints; (4) limited comprehension of
requirements, and (5) insulin as an easier option. Factors facilitating GDM self-management included: thinking about
the baby and psychological support from partners and families.
Conclusion: Women from low socio economic and migrant backgrounds often struggle to comprehend GDM
self-management requirements. To improve adherence to management plans, these women require educational
and supportive services that are culturally appropriate and aimed at a low level of literacy.
Keywords: Gestational diabetes, Disadvantaged, Barriers, Self-management