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Qualitative Health Research, Vol. 15, No. 1, 66-81 (2005)
DOI: 10.1177/1049732304270825
© 2005 SAGE Publications

Gestational Diabetes: The Meaning of an At-Risk Pregnancy

Marilyn K. Evans

Brock University, St. Catharines, Ontario, Canada

Beverley O’Brien

University of Alberta, Edmonton, Alberta, Canada

Being diagnosed with gestational diabetes (GDM) is coupled with the implication that the woman and her fetus are at risk. In this study, the authors use a hermeneutic phenomenological approach to gain an in-depth understanding of GDM as pregnant women meaningfully experience it. They conducted conversational interviews with 12 women who were diagnosed with and being treated for diabetes in pregnancy. Data analysis involved a reflective process consistent with the guidelines of thematic analysis. Four themes identified as characteristic of the women’s pregnancy experience were Living a Controlled Pregnancy, Balancing, Being a Responsible Mother, and Being Transformed. The findings challenge health care professionals to discuss openly and reassess their present models of care for pregnant women and their families.

Key Words: gestational diabetes • at-risk pregnancy • pregnancy • diabetes experience


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M. Sassi Matthias and A. S. Babrow
Problematic Integration of Uncertainty and Desire in Pregnancy
Qual Health Res, July 1, 2007; 17(6): 786 - 798.
[Abstract] [PDF]