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"Dealing with ambiguity" - the role of obstetricians in gestational diabetes mellitus.

Persson, Margareta, (författare)
Högskolan Dalarna, Omvårdnad
Hornsten, Asa (författare)
Winkvist, Anna (författare)
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Mogren, Ingrid (författare)
Hörnsten, Åsa, (författare)
Umeå universitet, Institutionen för omvårdnad
Hörnsten, Asa (författare)
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Högskolan Dalarna Akademin Utbildning, hälsa och samhälle. Omvårdnad. (creator_code:org_t)
Umeå universitet Medicinska fakulteten. Institutionen för klinisk vetenskap. Obstetrik och gynekologi. (creator_code:org_t)
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Umeå universitet Medicinska fakulteten. Institutionen för omvårdnad. (creator_code:org_t)
Göteborgs universitet Sahlgrenska akademin. Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition. 
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2012
Engelska.
Ingår i: Acta obstetricia et gynecologica Scandinavica. - 1600-0412. ; 91:4, s. 439-46
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Objective. Gestational diabetes mellitus is a pregnancy-related complication and therefore obstetricians counsel and manage the maternal health care for these women. This study describes obstetricians experiences of management of pregnant women with gestational diabetes mellitus.Design. Interview study. Setting. Hospital-based specialist maternal health care clinics in Sweden. Population. A consecutive purposive national sample of 17 obstetricians providing maternal health care to pregnant women diagnosed with gestational diabetes mellitus.Methods. Interviews were recorded and transcribed. The data were analyzed using qualitative content analysis.Result. The overall theme describing the experiences of the obstetricians was labeled Dealing with ambiguity. This ambiguity permeated all aspects of working as an obstetrician within the maternal health care; the role of the obstetrician, the context of organization, the multifaceted maternal and fetal interests to balance, and lack of consensus, recommendations and evidence-based knowledge.Conclusions. The study revealed the ambiguous situation experienced and managed by obstetricians providing maternal health care to pregnant women diagnosed with gestational diabetes mellitus. This indicates a need for national guidelines and standardized maternal health care services regarding gestational diabetes mellitus to fulfill the intentions of the health care system. Such recommendations may be beneficial and supportive for the health care professionals as well as for the mother-to-be and her fetus.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynecology and Reproductive Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

Hälsa och välfärd
Counseling
gestational diabetes mellitus
medical experience
obstetricians
qualitative study
Gestational diabetes mellitus
Adult
Aged
Attitude of Health Personnel
Diabetes
Gestational
therapy
Female
Humans
Male
Middle Aged
Obstetrics
Physician's Role
Practice Guidelines as Topic
Pregnancy
Prenatal Care
methods
organization & administration
Sweden
Uncertainty

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