title: Lived experiences of women with co-existing BMI≥30 and Gestational Diabetes Mellitus.
abstract: OBJECTIVE
  to explore the lived experiences of women with co-existing maternal obesity (BMI ≥ 30) and Gestational Diabetes Mellitus (GDM) during pregnancy and the post-birth period (<3 months post-birth).
  
  
  METHODS
  A qualitative, sociological design was utilised. Data were collected using a series of sequential in-depth narrative interviews during pregnancy and post-birth and fieldnotes. Cross sectional thematic analysis of the data set was undertaken, alongside the construction/analysis of in-depth biographical longitudinal case profiles of individual participants.
  
  
  METHODS
  Participants were recruited from diabetic antenatal clinics at two NHS hospital trusts in the South West of England.
  
  
  METHODS
  27 women with co-existing BMI ≥ 30 and GDM. Participants were predominantly of low socio-economic status (SES).
  
  
  RESULTS
  Women were experiencing a number of social and economic stressors that compromised their ability to manage pregnancies complicated by maternal obesity and GDM, and make lifestyle changes.Women perceived themselves to be stigmatised by healthcare professionals and the general public due to their obese and gestational diabetic status.
  
  
  CONCLUSIONS
  Women of low SES with maternal obesity and GDM perceived healthcare professionals' recommendations with respect to lifestyle change as unrealistic given their constrained social/material circumstances. Frequent references to weight/lifestyle change by different HCPs were seen as stigmatising and may be counterproductive.
  
  
  CONCLUSIONS
  Women would like more collaborative care which acknowledges/addresses their personal and financial circumstances. Multidisciplinary teams should give consideration to how, by whom, and the frequency with which issues of weight/lifestyle change are being discussed in order to avoid women feeling stigmatised.
authors.affiliation: Plymouth University, Drakes Circus, Plymouth, United Kingdom. Electronic address: r.j.jarvie@exeter.ac.uk.
authors.forename: Rachel
authors.initials: R
authors.lastname: Jarvie
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000523:psychology*; D004739:England; D005260:Female; D006801:Humans; D008016:Life Change Events; D009765:Obesity / Q000150:complications / Q000523:psychology*; D011247:Pregnancy; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D012923:Social Class; D013222:State Medicine / Q000458:organization & administration / Q000639:trends; D011795:Surveys and Questionnaires
keywords: Gestational Diabetes; Lifestyle; Obesity; Qualitative research; Socioeconomic status