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Implementing a healthy postpartum lifestyle after gestational diabetes or preeclampsia: a qualitative study of the partner’s role

Authors
  • Almli, Ingfrid1
  • Haugdahl, Hege S.2, 3
  • Sandsæter, Heidi L.1
  • Rich-Edwards, Janet W.4, 5
  • Horn, Julie1, 2
  • 1 Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway , Levanger (Norway)
  • 2 Norwegian University of Science and Technology, Trondheim, Norway , Trondheim (Norway)
  • 3 Nord-Trøndelag Hospital Trust, Levanger, Norway , Levanger (Norway)
  • 4 Harvard T.H. Chan School of Public Health, Boston, MA, USA , Boston (United States)
  • 5 Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA , Boston (United States)
Type
Published Article
Journal
BMC Pregnancy and Childbirth
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jan 31, 2020
Volume
20
Issue
1
Identifiers
DOI: 10.1186/s12884-020-2769-6
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundWomen with preeclampsia (PE) and gestational diabetes mellitus (GDM) are at increased risk for later cardiovascular disease, and lifestyle measures are recommended to prevent subsequent disease. Partner support has been shown to be important in lifestyle modification in other diseases, but there is a lack of knowledge of partner involvement in PE and GDM. The aim of this study was to explore the partner’s experiences and knowledge of gestational diseases, and how the partner wishes to contribute to lifestyle change.MethodsA qualitative study with one focus group interview and seven in-depth individual interviews, involving eleven partners of women with a pregnancy complicated by GDM or PE. The interview data were inductively analysed using four-step systematic text condensation, supported by interdependence theory.ResultsPartners experienced a strong “we-feeling” and wanted to support the woman in lifestyle changes. At the same time, they felt insecure, worried, foolish and left out and they missed information from clinicians. The partners felt that their involvement was crucial to lasting lifestyle changes and expected that the clinicians would routinely invite them to discuss lifestyle change.ConclusionsPartners considered themselves an important resource for lifestyle changes for women with PE and GDM, but missed being more directly invited, informed and included in maternity care and wanted to participate in the care that followed the gestational disease. This study can help health professionals to realize that partners are an overlooked resource that can make important contributions to improve the health of the whole family if they are involved and supported by health services.

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