Research Article

Women’s Views on Their Diagnosis and Management for Borderline Gestational Diabetes Mellitus

Table 3

Enablers and barriers for women to achieve their lifestyle goals.

EnablersCapabilityPhysical(i) Physical fitness improved over time
Psychological(i) Knowing about healthy eating during pregnancy
(ii) Aware/informed about bGDM/GDM
OpportunityPhysical(i) Active baby increases mother’s activity
(ii) Baby, easy to look after, allows more time for healthier lifestyle
(iii) Affordable childcare at gyms
(iv) Exercise sessions available on weekends
(v) Allowed more time while on leave from work
Social(i) Support and/or encouragement from family members and friends
MotivationAutomatic(i) Used to healthy dietary pattern and/or active lifestyle
(ii) Craved healthier food
(iii) Likes exercise
Reflective(i) Cared about baby’s health and/or own health
(ii) Wanted to lose weight or not gaining too much weight
(iii) Tried to avoid food (e.g. sugar, soft drink) “causing” hyperglycemia
(iv) Tried to set good examples for children at home
(v) Thought about and planned diet and lifestyle goals in advance by using booklets from research study
(vi) Attended education sessions to discuss goals for diet and exercise
(vii) Wanted to make good value of the money paid for exercise sessions

BarriersCapabilityPhysical(i) Being tired and exhausted or having no energy
(ii) Experienced a painful pregnancy
(iii) Felt sick and nauseous or unwell
(iv) Low lying placenta
(v) Had caesarean section
(vi) Had knee problem
Psychological(i) Unsure about proper diet and lifestyle for women with bGDM
(ii) Believed that pregnant women should not start exercising if not active before pregnancy
OpportunityPhysical(i) Being too busy
(ii) Lack of family support
(iii) Bad weather or getting dark early during winter
(iv) Having easy access to sugary food or chocolate
(v) Change in weather and environment while moving to another country
(vi) Shopping with young children is difficult
(vii) Having meals away from home
Social(i) The belief that “new mums could have chocolate, cakes or something sweet”
(ii) Lack of support from family members
MotivationAutomatic(i) Personal preference
(ii) Habits
(iii) Craved unhealthy food
(iv) Not motivated to exercise

GDM: gestational diabetes mellitus; bGDM: borderline gestational diabetes mellitus.