{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:49:19Z","timestamp":1791391759401,"version":"4.3.3"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Women with diabetes (WWD) (type 1 and type 2) are around four times more likely to experience baby loss: miscarriage, stillbirth, neonatal death or termination of pregnancy for medical reasons. Many WWD become pregnant again soon after loss. This study aimed to explore healthcare professional perspectives on improving inter\u2010pregnancy care for WWD after baby loss, as they play a crucial role in facilitating access to support for WWD to prepare for subsequent pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighteen healthcare professionals recruited through social media and professional networks between November 2020 and July 2021 participated in a semi\u2010structured remote interview. Data were analysed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three main themes were identified: (1) supporting WWD who want to become pregnant again after baby loss; (2) recognising multiple hidden burdens in the inter\u2010pregnancy interval after loss; (3) discontinuities and constraints in inter\u2010pregnancy care. Most participants tended to assume WWD wanted time and space before thinking about pregnancy after loss, so they did not routinely broach the subject. Participants reported receiving little or no training on managing sensitive conversations. Care provision varied across providers, and unclear referral pathways were challenging to navigate. Participants reported concerns that not all healthcare professionals knew how to mitigate pregnancy risks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>It is unclear who is responsible for supporting WWDs preconception health between baby loss and subsequent pregnancy. Healthcare professionals may be reticent to initiate conversations about pregnancy for fear of causing upset or distress. Future research is required to scope out ways to raise awareness among healthcare professionals and practical tips on sensitively raising the topic of subsequent pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15401","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T19:24:08Z","timestamp":1719861848000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Healthcare professional perspectives on improving inter\u2010pregnancy care after a baby loss for women with type 1 and type 2 diabetes"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4797-1459","authenticated-orcid":false,"given":"Eleanor","family":"Dyer","sequence":"first","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle Upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Bell","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle Upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Graham","sequence":"additional","affiliation":[{"name":"School of Geography, Politics and Sociology Newcastle University  Newcastle Upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Rankin","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle Upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Perinatal mortality 2009: United Kingdom","author":"Centre for Maternal and Child Enquiries (CMACE)","year":"2011"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12460"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38856.692986.AE"},{"key":"e_1_2_13_5_1","volume-title":"Diabetes in pregnancy: management from preconception to the postnatal period (NG3)","author":"National Institute of Health and Care Excellence (NICE)","year":"2015"},{"key":"e_1_2_13_6_1","volume-title":"Preconception Care for Women with Type 1 or Type 2 Diabetes Mellitus: a Mixed\u2010Methods Study Exploring Uptake of Preconception Care","author":"Earle S","year":"2017"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S115955"},{"key":"e_1_2_13_8_1","volume-title":"The National Pregnancy in Diabetes Audit 2021 and 2022 (01 January 2021 to 31 December 2022)","author":"NHS England","year":"2023"},{"key":"#cr-split#-e_1_2_13_9_1.1","unstructured":"NHS Digital.The National Pregnancy in Diabetes (NPID) Audit Report 2018: England Wales and the Isle of Man UK: Healthcare Quality Improvement Partnership"},{"key":"#cr-split#-e_1_2_13_9_1.2","unstructured":"10 October 2019.2019Accessed May 7 2024.https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/national\u2010pregnancy\u2010in\u2010diabetes\u2010audit\/national\u2010pregnancy\u2010in\u2010diabetes\u2010annual\u2010report\u20102018"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2009.02890.x"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-1888"},{"key":"e_1_2_13_12_1","article-title":"Women with diabetes' experience of becoming pregnant after baby loss","author":"Dyer E","journal-title":"BMJ Open"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316665344"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_13_17_1","unstructured":"Quirkos Computer Software 2.4.2.2021https:\/\/www.quirkos.com"},{"key":"e_1_2_13_18_1","unstructured":"Desmond.About us.2023Accessed June 21 2023.https:\/\/www.desmond.nhs.uk\/about\u2010us"},{"key":"e_1_2_13_19_1","unstructured":"DAFNE.What is DAFNE?2023. 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