PDF(Pubmed)
Abstract：
UNASSIGNED: Gestational diabetes mellitus (GDM) is an abnormal glucose metabolism diagnosed during pregnancy that can have serious adverse consequences for mother and child. GDM is an exceptional health condition, as its management serves not only as treatment but also as prevention, reducing the risk of future diabetes in mother and child.
UNASSIGNED: This qualitative study aimed to explore how pregnant women experience and respond to GDM, focusing particularly on the role of the family environment in shaping women\'s experiences.
UNASSIGNED: The research was carried out in Vietnam\'s Thái Bình province in April-May 2023. We conducted in-depth ethnographic interviews with 21 women with GDM, visiting them in their homes. Our theoretical starting point was phenomenological anthropology, and the data were analysed using a thematic analysis approach.
UNASSIGNED: At the centre of women\'s experiences was the contrast between GDM as a biomedical and a social condition. Whereas GDM was biomedically diagnosed and managed in the healthcare system, it was often deemed insignificant or non-existent by family members. This made GDM a biomedically present but socially absent health condition. This paradox posed challenges to women\'s GDM self-care, placing them in pioneering social positions.
UNASSIGNED: The biomedical presence yet social absence of GDM turned women into pioneers at biomedical, digital, epidemiological, and family frontiers. This article calls for appreciation of pregnant women\'s pioneering roles and for health systems action to involve women and families in the development of GDM policies and programmes at a time of sweeping global health changes.
Main findings: Vietnamese women’s experiences of gestational diabetes were affected by social splits between clinic and home; between biomedical and family worlds.Added knowledge: Gestational diabetes places pregnant women in Northern Vietnam in pioneering roles on biomedical, digital, epidemiological, and family frontiers.Global health impact for policy and action: Pregnant women should be involved in the development of policies and programmes addressing gestational diabetes, with particular attention to the connections between clinical and family worlds.
UNASSIGNED: This qualitative study aimed to explore how pregnant women experience and respond to GDM, focusing particularly on the role of the family environment in shaping women\'s experiences.
UNASSIGNED: The research was carried out in Vietnam\'s Thái Bình province in April-May 2023. We conducted in-depth ethnographic interviews with 21 women with GDM, visiting them in their homes. Our theoretical starting point was phenomenological anthropology, and the data were analysed using a thematic analysis approach.
UNASSIGNED: At the centre of women\'s experiences was the contrast between GDM as a biomedical and a social condition. Whereas GDM was biomedically diagnosed and managed in the healthcare system, it was often deemed insignificant or non-existent by family members. This made GDM a biomedically present but socially absent health condition. This paradox posed challenges to women\'s GDM self-care, placing them in pioneering social positions.
UNASSIGNED: The biomedical presence yet social absence of GDM turned women into pioneers at biomedical, digital, epidemiological, and family frontiers. This article calls for appreciation of pregnant women\'s pioneering roles and for health systems action to involve women and families in the development of GDM policies and programmes at a time of sweeping global health changes.
Main findings: Vietnamese women’s experiences of gestational diabetes were affected by social splits between clinic and home; between biomedical and family worlds.Added knowledge: Gestational diabetes places pregnant women in Northern Vietnam in pioneering roles on biomedical, digital, epidemiological, and family frontiers.Global health impact for policy and action: Pregnant women should be involved in the development of policies and programmes addressing gestational diabetes, with particular attention to the connections between clinical and family worlds.
摘要：
■妊娠期糖尿病（GDM）是在怀孕期间诊断出的葡萄糖代谢异常，可能对母亲和孩子造成严重的不良后果。GDM是一种特殊的健康状况，因为它的管理不仅是治疗，也是预防，降低母亲和孩子未来患糖尿病的风险。
■这项定性研究旨在探讨孕妇对GDM的体验和反应。特别关注家庭环境在塑造女性体验中的作用。
■这项研究是在2023年4月至5月在越南的TháiBính省进行的。我们对21名GDM女性进行了深入的人种学访谈，在他们的家中探望他们。我们的理论起点是现象学人类学,并采用专题分析方法对数据进行分析。
女性体验的中心是GDM作为生物医学和社会条件之间的对比。而GDM是在医疗保健系统中进行生物医学诊断和管理的，家庭成员通常认为它微不足道或不存在。这使GDM成为生物医学上存在但社会上不存在的健康状况。这一悖论对女性的GDM自我保健提出了挑战，将他们置于开创性的社会地位。
生物医学的存在，但GDM的社会缺失使女性成为生物医学的先驱，数字,流行病学,和家庭边界。本文呼吁赞赏孕妇的先锋作用，并呼吁卫生系统行动，使妇女和家庭参与GDM政策和计划的制定，在全球健康变化的时代。
主要发现：越南妇女的妊娠糖尿病经历受到诊所和家庭之间，生物医学和家庭世界之间的社会分歧的影响。增加的知识：妊娠糖尿病使越南北部的孕妇在生物医学领域发挥了先锋作用，数字,流行病学,和家庭边界。全球健康对政策和行动的影响:孕妇应参与制定应对妊娠期糖尿病的政策和方案，特别关注临床和家庭世界之间的联系。
■这项定性研究旨在探讨孕妇对GDM的体验和反应。特别关注家庭环境在塑造女性体验中的作用。
■这项研究是在2023年4月至5月在越南的TháiBính省进行的。我们对21名GDM女性进行了深入的人种学访谈，在他们的家中探望他们。我们的理论起点是现象学人类学,并采用专题分析方法对数据进行分析。
女性体验的中心是GDM作为生物医学和社会条件之间的对比。而GDM是在医疗保健系统中进行生物医学诊断和管理的，家庭成员通常认为它微不足道或不存在。这使GDM成为生物医学上存在但社会上不存在的健康状况。这一悖论对女性的GDM自我保健提出了挑战，将他们置于开创性的社会地位。
生物医学的存在，但GDM的社会缺失使女性成为生物医学的先驱，数字,流行病学,和家庭边界。本文呼吁赞赏孕妇的先锋作用，并呼吁卫生系统行动，使妇女和家庭参与GDM政策和计划的制定，在全球健康变化的时代。
主要发现：越南妇女的妊娠糖尿病经历受到诊所和家庭之间，生物医学和家庭世界之间的社会分歧的影响。增加的知识：妊娠糖尿病使越南北部的孕妇在生物医学领域发挥了先锋作用，数字,流行病学,和家庭边界。全球健康对政策和行动的影响:孕妇应参与制定应对妊娠期糖尿病的政策和方案，特别关注临床和家庭世界之间的联系。
