{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:24:03Z","timestamp":1790267043747,"version":"4.1.0"},"reference-count":98,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T00:00:00Z","timestamp":1733788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In numerous qualitative primary studies, women have identified opportunities to improve prenatal gestational diabetes care. The objective of our systematic review and meta\u2010aggregation was to synthesize patient\u2010guided suggestions for improving prenatal gestational diabetes care that are informed by lived experience of women and their support persons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This study was registered a priori on PROSPERO (CRD42023394014). Our search strategy was executed in five databases (Medline, PsycInfo, CINAHL, Scopus, and Web of Science). Primary studies that were qualitative, had full texts in English, studied women who have or had gestational diabetes or their support persons, and included experiential accounts on prenatal gestational diabetes care were included. No date restrictions were applied. Studies that were not qualitative, were secondary analyses, included data on only postpartum care, or evaluated an intervention that was not standard care were excluded. Two independent authors used Covidence software to facilitate screening. The outcomes of interest were patient\u2010reported suggestions to improve quality of gestational diabetes care that are informed by women's or their support persons' accounts of the lived experience of gestational diabetes. Meta\u2010aggregation followed by a thematic synthesis approach was used to analyze the qualitative data to identify women's perspectives to improve gestational diabetes care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After duplicate removal, a total of 4761 studies underwent screening and a total of 80 studies were ultimately included. Patient\u2010 and support persons\u2010reported suggestions to improve care include timely and comprehensive education around gestational diabetes with active engagement of family members, personalized and tailored counseling, patient\u2010centered care, incorporation of digital or online adjuncts to care, and increasing support for women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our systematic review and meta\u2010aggregation identifies several actionable and patient\u2010guided suggestions to improve prenatal gestational diabetes care that are important to consider when embarking on clinical quality improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.14973","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T12:39:53Z","timestamp":1733834393000},"page":"267-287","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Women's perspectives to improve prenatal care for gestational diabetes: A systematic review and meta\u2010aggregation of qualitative studies"],"prefix":"10.1111","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7547-5076","authenticated-orcid":false,"given":"Yuyang Julianne","family":"Feng","sequence":"first","affiliation":[{"name":"Department of Medicine University of Alberta  Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhidi","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Alberta  Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Sivak","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Alberta  Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roseanne O.","family":"Yeung","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Alberta  Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taniya","family":"Nagpal","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Alberta  Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-S002"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108642"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00542-5"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(01)00496-9"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2021-067946","article-title":"Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta\u2010analysis","volume":"377","author":"Ye W","year":"2022","journal-title":"BMJ"},{"key":"e_1_2_11_7_1","first-page":"1991","article-title":"The HAPO study cooperative research group","volume":"358","author":"Hyperglycemia and Adverse Pregnancy Outcomes","year":"2008","journal-title":"N Engl J Med"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-2517"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc21-1430"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2021.09.003"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2745-1"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2019.03.008"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.13191"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11154-020-09610-4"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-12-181"},{"key":"e_1_2_11_16_1","unstructured":"CASP Checklists.Critical Appraisal Skills Programme [Internet]. CASP\u2014Critical Appraisal Skills Programme.2023Available from:https:\/\/casp\u2010uk.net\/casp\u2010tools\u2010checklists\/"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12134"},{"key":"e_1_2_11_18_1","first-page":"179","article-title":"Qualitative research synthesis: methodological guidance for systematic reviewers utilizing meta\u2010aggregation","volume":"13","author":"Lockwood C","year":"2015","journal-title":"JBI Evid Implement"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2011.01322.x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12655"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/17455065211013769"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2018.11.007"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-017-2261-8"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2016.11.003"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.955484"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03981-5"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1431"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANS.0000000000000115"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2021.102995"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0225431"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2013.10.001"},{"key":"e_1_2_11_32_1","first-page":"27","article-title":"What do women with gestational diabetes want for breastfeeding support? A participatory action research study","volume":"30","author":"Cummins L","year":"2022","journal-title":"Breastfeed Rev"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0000000000000047"},{"key":"e_1_2_11_34_1","first-page":"S103","article-title":"Compliance with treatment regimen in women with gestational diabetes: living with fear","volume":"19","author":"Ghaffari F","year":"2014","journal-title":"Iran J Nurs Midwifery Res"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2014.07.001"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2019.09.007"},{"key":"e_1_2_11_37_1","first-page":"59","article-title":"Gestational diabetes mellitus in Tonga: insights from healthcare professionals and women who experienced gestational diabetes mellitus","volume":"123","author":"Doran F","year":"2010","journal-title":"N Z Med J"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2016.12.009"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2014.09.005"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2022.2110221"},{"key":"e_1_2_11_41_1","first-page":"1","article-title":"Women's accounts of the gestational diabetes experience\u2014a south african perspective","volume":"26","author":"Dickson LM","year":"2020","journal-title":"South Afr J Obstet Gynaecol"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2016.01.013"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-440"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13580"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1710-8"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1657-9"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.2196\/14486"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2013.08.263"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659615594677"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18168774"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.13516"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101614"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2012.05.013"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-99"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2010.2676"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY08040"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2016.06.019"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017648"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12292"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13122"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2020.102797"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2021.1882077"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-81"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423621000785"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-018-0518-z"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2012.04069.x"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2005.01422.x"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2004.09.004"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2011.03834.x"},{"key":"e_1_2_11_70_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721714535991"},{"key":"e_1_2_11_71_1","doi-asserted-by":"publisher","DOI":"10.1071\/HE15130"},{"key":"e_1_2_11_72_1","doi-asserted-by":"publisher","DOI":"10.19082\/3412"},{"key":"e_1_2_11_73_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17093062"},{"key":"e_1_2_11_74_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-04297-0"},{"key":"e_1_2_11_75_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep11347644"},{"key":"e_1_2_11_76_1","doi-asserted-by":"publisher","DOI":"10.1002\/edn.150"},{"key":"e_1_2_11_77_1","first-page":"1474","article-title":"Knowledge and feelings of diabetic pregnant women about gestational diabetes mellitus and treatment","volume":"10","author":"Man\u00e7\u00fa T","year":"2016","journal-title":"J Nurs UFPE Rev Enferm UFPE"},{"key":"e_1_2_11_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2019.01.002"},{"key":"e_1_2_11_79_1","article-title":"Mother's obstacles in managing gestational diabetes mellitus: a qualitative study. Ann trop med","volume":"23","author":"Mufdlilah ER","year":"2020","journal-title":"Public Health"},{"key":"e_1_2_11_80_1","first-page":"70","article-title":"Qualitative study on mother's experiences for self\u2010management of gestational gestational diabetes mellitus. Eur J Mol","volume":"7","author":"Mufdlilah MAA","year":"2020","journal-title":"Clin Med"},{"key":"e_1_2_11_81_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-01093-4"},{"key":"e_1_2_11_82_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneb.2011.05.017"},{"key":"e_1_2_11_83_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-018-2489-y"},{"key":"e_1_2_11_84_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2009.00735.x"},{"key":"e_1_2_11_85_1","first-page":"5983","article-title":"Women, clinician and IT staff perspectives on telehealth for enhanced gestational diabetes mellitus management in an Australian rural\/regional setting","volume":"21","author":"Rasekaba T","year":"2021","journal-title":"Rural Remote Health"},{"key":"e_1_2_11_86_1","first-page":"1648","article-title":"Knowledge of pregnant women about gestational diabetes mellitus","volume":"6","author":"Rolim de Holanda V","year":"2012","journal-title":"J Nurs UFPE Rev Enferm UFPE"},{"key":"e_1_2_11_87_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2018.01.013"},{"key":"e_1_2_11_88_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721718795589"},{"key":"e_1_2_11_89_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04539-9"},{"key":"e_1_2_11_90_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2022.2155045"},{"key":"e_1_2_11_91_1","first-page":"393","article-title":"Perspectives of healthcare professionals and patients on Management of Gestational Diabetes Mellitus: a qualitative study in Negeri Sembilan, Malaysia. Malays","volume":"21","author":"Ahs NS","year":"2015","journal-title":"J Nutr"},{"key":"e_1_2_11_92_1","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2022.9500"},{"key":"e_1_2_11_93_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGPO.2021.0104"},{"key":"e_1_2_11_94_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2022.100780"},{"key":"e_1_2_11_95_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2018.03.001"},{"key":"e_1_2_11_96_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2019.08.019"},{"key":"e_1_2_11_97_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13571"},{"key":"e_1_2_11_98_1","first-page":"62","article-title":"Socio\u2010cultural aspects of self\u2010management in gestational diabetes","volume":"16","author":"Youssef Wazqar D","year":"2012","journal-title":"J Diabetes Nurs"},{"key":"e_1_2_11_99_1","doi-asserted-by":"publisher","DOI":"10.1080\/21642850.2015.1073111"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T18:40:13Z","timestamp":1741718413000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,10]]},"references-count":98,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/aogs.14973"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14973","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,10]]},"assertion":[{"value":"2024-05-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}