ArticleBJOG : an international journal of obstetrics and gynaecology2019
Women's and healthcare providers' perceptions of long-term complications associated with hypertension and diabetes in pregnancy: a qualitative study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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- Patient and Provider Perspectives on Cardiovascular Health Education and Engagement Following Hypertensive Disorders of Pregnancy: A Qualitative Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
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- Preeclampsia: Etiology, Pathophysiology, Risk Factors, Impact and Prevention: A Narrative Review.Iranian journal of public health · 2024Review
- Women's Knowledge of Future Cardiovascular Risk Associated With Complications of Pregnancy: A Systematic Review.CJC open · 2024Review
- Postpartum follow-up of women with preeclampsia: facilitators and barriers - A qualitative study.BMC pregnancy and childbirth · 2023Article
- A Mobile Clinical Decision Support System for High-Risk Pregnant Women in Rural India (SMARThealth Pregnancy): Pilot Cluster Randomized Controlled Trial.JMIR formative research · 2023Article
- How Well Do U.S. Primary Care and Obstetrics and Gynecology Clinicians Screen for Pregnancy Complications at Well Woman Visits? A Retrospective Cohort Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Article
- How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China.Frontiers in endocrinology · 2022Article
- Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana.SAGE open medicine · 2022Article
- Chinese women's attitudes towards postpartum interventions to prevent type 2 diabetes after gestational diabetes: a semi-structured qualitative study.Reproductive health · 2021Article
- Health care professionals' perspectives on screening and management of gestational diabetes mellitus in public hospitals of South India - a qualitative study.BMC health services research · 2021Article
- SMARThealth Pregnancy: Feasibility and Acceptability of a Complex Intervention for High-Risk Pregnant Women in Rural India: Protocol for a Pilot Cluster Randomised Controlled Trial.Frontiers in global women's health · 2021Article
- Women's and healthcare providers' perceptions of long-term complications associated with hypertension and diabetes in pregnancy: a qualitative study.BJOG : an international journal of obstetrics and gynaecology · 2019Article
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Authors and funding
6 authors at 4 institutions in 2 countries.
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Abstract
objectivesA diagnosis of hypertensive disorders during pregnancy (HDPs) or gestational diabetes mellitus (GDM) is highly predictive of women at increased risk of developing chronic hypertension, Type 2 diabetes, and cardiovascular disease. This study investigates perceptions of women and healthcare providers in rural India regarding these long-term risks.
designQualitative study using modified grounded theory.
settingTwo states in rural India: Haryana and Andhra Pradesh. POPULATION: Pregnant and postpartum women, community health workers (CHWs), primary care physicians, obstetricians, laboratory technicians, and healthcare officials.
methodsIn-depth interviews and focus group discussions explored: (1) priorities for high-risk pregnant women; (2) detection and management of HDPs and GDM; (3) postpartum management, and (4) knowledge of long-term sequelae of high-risk conditions. A thematic analysis was undertaken.
resultsSeven focus group discussions and 11 in-depth interviews (n = 71 participants) were performed. The key priority area for high-risk pregnant women was anaemia. Blood pressure measurement was routinely embedded in antenatal care; however, postpartum follow up and knowledge of the long-term complications were limited. GDM was not considered a common problem, although significant variations and challenges to GDM screening were identified. Knowledge of the long-term sequelae of GDM with regard to an increased risk of Type 2 diabetes and cardiovascular disease among doctors was minimal.
conclusionsThere is a need for improved education, standardisation of testing and postpartum follow up of HDPs and GDM in rural Indian settings.
fundingSN is supported by an MRC Clinical Research Training Fellowship (MR/R017182/1). The George Institute for Global Health Global Women's Health programme provided financial support for the research assistant and fieldwork costs in India. TWEETABLE ABSTRACT: Improved education and postpartum care of women with hypertension and diabetes in pregnancy in rural India are needed to prevent long-term risks.
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