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The lived experiences of healthcare during pregnancy, birth, and three months after in women with type 1 diabetes mellitus

Artikel i vetenskaplig tidskrift
Författare Helena Dahlberg
Marie Berg
Publicerad i International Journal of Qualitative Studies on Health and Well-being
Volym 15
Nummer/häfte 1
ISSN 17482623
Publiceringsår 2019
Publicerad vid Institutionen för vårdvetenskap och hälsa
Språk en
Länkar https://doi.org/10.1080/17482631.20...
Ämnesord experiences of care, labour and birth, phenomenology, post-natal care, pregnancy, reflective lifeworld research, Type 1 diabetes mellitus
Ämneskategorier Hälsovetenskaper, Omvårdnad

Sammanfattning

Being pregnant, giving birth, and becoming a mother the first months after birth, is for women with type 1 diabetes mellitus (T1DM) a period of difficult challenges. In order to identify their need of support from healthcare, the aim of this study was to describe healthcare during pregnancy, labour, birth, and up to 12 weeks after birth as experienced by Swedish women with T1DM. We used a phenomenological reflective lifeworld research approach, and made 1-2 individual interviews with ten women in late pregnancy and/or 2-3 months after. Transcribed interviews were analysed through focusing on the meanings of the study phenomenon. The results revealed how the diabetes disease, as well as the risks and responsibility that comes with it, become more visible during the period in question, due to a constant monitoring, performed by the woman herself as well as by the healthcare professionals. The essential meaning of the phenomenon is a need to share the burden of risks and responsibilities with healthcare professionals. The complex situation that these women are in, both as experts on their illness and care and in need of care, requires a care that make women feel capable and responsible, but at the same time offers support and relieve them of their responsibility when needed.

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