ABSTRACT:
Background: Women with prior Gestational Diabetes Mellitus (GDM) face a significantly higher risk of developing Type 2 Diabetes Mellitus (T2DM). Awareness of susceptibility and confidence in preventive practices are key to reducing this risk. Methods: A cross-sectional analytical study was conducted among 160 postnatal mothers with a history of GDM at a tertiary care hospital in Thiruvanathapuram. Data were collected using structured tools assessing perceived susceptibility and preventive self-efficacy. Results: More than half of participants reported average perceived susceptibility (56.9%), while 43.1% demonstrated moderate self-efficacy. Significant associations were found with education, occupation, economic status, BMI, treatment received, and family history of diabetes (12–14). A strong positive correlation was observed between susceptibility and self-efficacy (r=0.870, p=0.01). Conclusion: Findings highlight the importance of postpartum education and tailored interventions to improve both awareness and confidence in adopting preventive behaviors against T2DM.
Cite this article:
Emy Edison, Lekshmi A.S. Perceived Susceptibility and Preventive Self-Efficacy toward Type 2 Diabetes among mothers after Gestational Diabetes. International Journal of Advances in Nursing Management. 2025;13(4):257-1. doi: 10.52711/2454-2652.2025.00047
Cite(Electronic):
Emy Edison, Lekshmi A.S. Perceived Susceptibility and Preventive Self-Efficacy toward Type 2 Diabetes among mothers after Gestational Diabetes. International Journal of Advances in Nursing Management. 2025;13(4):257-1. doi: 10.52711/2454-2652.2025.00047 Available on: https://ijanm.com/AbstractView.aspx?PID=2025-13-4-11
REFERENCES:
1. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010; 33(Suppl 1): S62–S69.
2. Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes. Diabetes Care. 2002; 25(10): 1862–8.
3. Bellamy L, Casas JP, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009; 373(9677): 1773–9.
4. Ferrara A, Peng T, Kim C. Trends in postpartum diabetes screening and subsequent diabetes and impaired fasting glucose among women with histories of gestational diabetes mellitus. Diabetes Care. 2009; 32(2): 269–74.
5. Stasenko M, Cheng Y, McLean T, Jelin A, Rand L, Caughey A. Postpartum follow-up for women with gestational diabetes mellitus. Am J Perinatol. 2011; 28(9): 703–8.
6. Lawrence JM, Black MH, Hsu JW, Sacks DA. Prevalence and timing of postpartum glucose testing and sustained glucose dysregulation after gestational diabetes mellitus. Diabetes Care. 2010; 33(3): 569–76.
7. Diabetes and Pregnancy Program. Postpartum follow-up and long-term outcomes. DAPP Clinical Report. 2018.
8. Dabelea D, Hanson RL, Lindsay RS, et al. Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: a study of discordant sibships. Diabetes. 2000; 49(12): 2208–11.
9. Nicklas JM, Zera CA, England LJ, et al. Risk perception, health behaviors, and depression among women with a history of gestational diabetes mellitus. Diabetes Educ. 2013; 39(4):542–52.
10. Nielsen KK, Kapur A, Damm P, de Courten M, Bygbjerg IC. From screening to postpartum follow-up – determinants and barriers for GDM services, a systematic review. BMC Pregnancy Childbirth. 2014; 14: 41.
11. Chasan-Taber L. Lifestyle interventions to reduce risk of diabetes among women with prior gestational diabetes mellitus. Best Pract Res Clin Obstet Gynaecol. 2015; 29(1): 110–22.
12. International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels: IDF; 2021.
13. Seshiah V, Balaji V, Balaji MS, et al. Prevalence of gestational diabetes mellitus in South India: a community-based study. J Assoc Physicians India. 2008; 56: 329–33.
14. Shriraam V, Rani MA, Sathiyasekaran BWC, Mahadevan S. Awareness of gestational diabetes mellitus among antenatal women in a primary health center in South India. Indian J Endocrinol Metab. 2013; 17(1): 146–8.
15. Bhasy B, Varghese L, Krishnan A, Viswanath L. Perceived risk and abilities for health practices related to prevention of type II Diabetes Mellitus among postnatal mothers with Gestational Diabetes Mellitus. Asian J Pharm Clin Res. 2018; 11: 354.
16. Rashidi Fakari F, Rahnama P, Nazari M, Mirghafourvand M. The relationship between risk perception and health behaviors in Iranian women with a history of gestational diabetes: a cross-sectional study. BMC Pregnancy Childbirth. 2020; 20(1): 196.
17. Morrison MK, Collins CE, Lowe JM. Perceived risk of type 2 diabetes in Australian women with a recent history of gestational diabetes mellitus. Diabet Med. 2010; 27(7): 882–6.
18. O’Reilly SL, Dunbar JA, Versace VL, Janus ED, Best JD, Philpot B. Women’s perceptions of risk of diabetes following gestational diabetes: implications for motivating preventive health behavior. Health Promot J Austr. 2010; 21(1): 20–5.
19. Tovar A, Chasan-Taber L, Eggleston E, Oken E. Postpartum screening for diabetes among women with a history of gestational diabetes mellitus. Prev Chronic Dis. 2011; 8(6): A124.
20. Guo J, Chen JL, Whittemore R, Whitaker E. Postpartum risk perception and glucose screening in Chinese women with a history of gestational diabetes mellitus. J Obstet Gynecol Neonatal Nurs. 2011; 40(2): 242–50.
21. Ferrara A, Peng T, Kim C. Translating Research Into Action for Diabetes (TRIAD) Study: postpartum diabetes screening trends. Diabetes Care. 2009; 32(3): 269–74.