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Why don't women with diabetes plan t...

Holing, Emily.

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Why don't women with diabetes plan their pregnancies?

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Why don't women with diabetes plan their pregnancies?/
作者:	Holing, Emily.
面頁冊數:	133 p.
附註:	Source: Dissertation Abstracts International, Volume: 57-07, Section: B, page: 4311.
Contained By:	Dissertation Abstracts International57-07B.
標題:	Health Sciences, Obstetrics and Gynecology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9637959
ISBN:	9780591037340

Why don't women with diabetes plan their pregnancies?
Holing, Emily.

Why don't women with diabetes plan their pregnancies? - 133 p.

Source: Dissertation Abstracts International, Volume: 57-07, Section: B, page: 4311.

Thesis (Ph.D.)--University of Washington, 1996.

The purpose of this study was to advance our understanding of why many women with diabetes fail to plan their pregnancies, and consequently do not maintain adequate blood sugar control during the critical weeks of fetal development, significantly increasing the risk for birth defects in their infants.

ISBN: 9780591037340Subjects--Topical Terms:

1020690
Health Sciences, Obstetrics and Gynecology.

Why don't women with diabetes plan their pregnancies?
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500 $a Source: Dissertation Abstracts International, Volume: 57-07, Section: B, page: 4311.
500 $a Chairperson: Jonathon Brown.
502 $a Thesis (Ph.D.)--University of Washington, 1996.
520 $a The purpose of this study was to advance our understanding of why many women with diabetes fail to plan their pregnancies, and consequently do not maintain adequate blood sugar control during the critical weeks of fetal development, significantly increasing the risk for birth defects in their infants.
520 $a In depth interviews were conducted with 85 women with established diabetes who had recently given birth at one of 15 hospitals across Washington State. Quantitative and qualitative methods were integrated to identify who plans their pregnancies and who does not. Nearly 60% of the pregnancies in this sample were unintended.
520 $a Findings from the quantitative analyses showed that women with intended pregnancies had significantly better blood sugar control at first prenatal visit than women with unintended pregnancies; however there were no differences in blood sugars between "subintended" and unintended pregnancies. Women with unintended pregnancies were more likely to have an income under $2 0,000, had less education, and were more likely to smoke than women with intended pregnancies. They were also more likely to be unhappily married or unmarried, more likely to have a powerful others health locus of control, and reported lower levels of health related quality of life than did women who planned their pregnancies.
520 $a Qualitative analyses of semi-structured interviews found that there are degrees of pregnancy intention, and many unintended pregnancies may actually be "subintended". The majority of women with unintended pregnancies were not using contraception or were using it less than half of the time. The data also showed that knowledge of risks was not sufficient to compel most women to plan their pregnancies. Over half of the women with unintended pregnancies had even experienced a prior pregnancy with diabetes. Most women had heard about birth defect risks from their health provider prior to becoming pregnant. However, women who received negative messages or were advised against pregnancy were far more likely to have an unintended pregnancy than were women who received reassurance that they could have a healthy baby. Furthermore, women who described a positive relationship with their health care providers, a sense of bond beyond mere medical advice, were more likely to plan their pregnancies than were women who described negative provider relationships.
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