My first Magazine Abstract book 9_08_2017 | Page 32

Ana Paiva, RN, MSc APDP - Diabetes Portugal (Education and Research C; Rua Salitre, 118-120, 1250-203 Lisbon, Portugal, PT [email protected] Joao-Filipe MD, PhD Raposo Endocrinology APDP - Diabetes Portugal Education and Research C, Lisbon, PT [email protected] RN, PhD Angus Forbes Nursing Florence Nightingale Faculty of Nursing and Midwife London GB [email protected] TYPE 1 DIABETES WOMEN'S VIEWS ABOUT PRECONCEPTION CARE- A QUALITATIVE STUDY Background: Pregnancy in women with Type 1 diabetes mellitus (T1DM) is associated with increased complications for both baby and mother; such complications can be reduced with careful pregnancy planning. Preconception care (PCC) enhances pregnancy outcomes by helping women to optimise their glycaemic control, through supportive intervention. However, despite these benefits the uptake and adherence to PCC is low. This qualitative study aimed to generate a better understanding as to why women may not utilise PCC, by eliciting the views and experiences of women with T1DM in relation to preconception care. Methods/Sample: A sample of six women of reproductive age with T1DM undertook semi-structured interviews exploring their views on PCC. These interviews were tape-recorded, transcribed (verbatim) and analysed using interpretative phenomenological analysis (IPA) to elicit themes that explicated the women's orientation and behaviour in relation to PCC. Results: The analysis identified five key themes: the fear of complications (both for the mother and baby); the style of communication from health care professionals (HCPs); the support of significant other's; personal autonomy; and women's beliefs about PCC. Conclusion: Overall the findings suggest that women's uptake of and engagement with PCC is enhanced when HCPs adopt a supportive and positive approach, which addresses their anxieties in pregnancy preparation and encourages the health behaviours necessary for a good outcome for their baby. Keywords: Type 1 diabetes, Women's view, Preconception care, Pregnancy outcomes Congress Topics: Connecting, Sharing and Learning in Nursing 30 |