Discussing risk during pregnancy : the experiences of midwives and women with pre-existing diabetes

Strachan, Kathryn Anne

Clinical psychology
January 2017

Thesis or dissertation

© 2017 Kathryn Anne Strachan. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright holder.

This portfolio thesis contains three separate parts: a systematic literature review, an empirical study and corresponding appendices.

Part one is a systematic literature review, which uses meta-ethnography to synthesise qualitative empirical studies investigating the female experience of living and coping with Type 1 Diabetes mellitus and the impact on identity. A systematic database search identified nine articles which were included. The synthesis of findings resulted in seven subthemes and four super-ordinate themes: ‘Identity shaped by the grip of blood glucose levels’, ‘The influence of others’, ‘Resistance against a ‘diabetic’ identity’ and ‘Creating Stability: integrating diabetes’. The quality of included studies was reviewed and the overall strength of literature considered. Results are discussed in relation to implications for clinical practice in diabetes care and areas for future research.

Part two is an empirical study exploring the experience of discussing risk from the perspective of midwives and pregnant women with Type 1 diabetes mellitus. Five midwives and eight women with Type 1 diabetes were interviewed. Data was analysed using Interpretative Phenomenological Analysis. Twelve subthemes and four super-ordinate themes were identified: ‘Understanding and responding to risk’, ‘Talking about risk’, ‘Negotiating choice and control’ and ‘The relationship buffer’. Results are discussed in relation to relevant theory, implications for clinical practice in maternity care and suggestions for future research.

Part three includes appendices which support the meta-ethnography and empirical study. This contains an epistemological statement and a reflective statement detailing the research processes and underpinnings.

Department of Psychological Health and Wellbeing, The University of Hull
Glover, Lesley; Jomeen, Julie
Qualification level
Qualification name
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