Sleep research article

"I gave birth, and then I disappeared"-women's experience of primary care follow-up and lifestyle prevention after gestational diabetes.

2026-01-01 · arXiv: 10.1080/17482631.2026.2717466

Authors: Björk Javanshiri A , Modig S , Nymberg P , Calling S

One-line summary

A sleep science research article on "I gave birth, and then I disappeared"-women's experience of primary care follow-up and lifestyle prevention after gestational diabetes..

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中文解读

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Original abstract

<h4>Purpose</h4>Primary care follow-up of women with previous GDM is often lacking. Little is known about effective approaches to improve follow-up and promote a healthy lifestyle.<h4>Method</h4>Semi-structured individual interviews were conducted with 17 purposively sampled women with previous GDM in southern Sweden. The interviews were audio-recorded, transcribed verbatim, and qualitative content analysis was performed.<h4>Results</h4>Three main categories were found: "a missed proactive opportunity caused by insufficient GDM follow-up", "need for a holistic approach to health and wellbeing", and "ambivalence toward tech-enhanced lifestyle management". Women with previous GDM felt abandoned by healthcare after labour, since follow-up in primary care was lacking. Follow-up was viewed as proactive and requested, preferably in the form of a holistic approach to health. Motherhood and future T2DM risk were the strongest motivators for healthy lifestyle behaviours. Overall, they were cautiously optimistic regarding digital solutions in facilitating follow-up and lifestyle improvement. The capability opportunity motivation-behavior (COM-B) framework was applied, highlighting key determinants of women's ability to make lifestyle changes.<h4>Conclusions</h4>Promoting a healthy lifestyle among women with prior GDM requires efforts at multiple levels to reduce long-term diabetes risk. Structured primary care follow-up and person-centred lifestyle support can be potentially enhanced through digital health interventions.

6.0App value
8.0Research quality
7.0Wellness relevance

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