{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T03:13:25Z","timestamp":1791515605701,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W003740\/1"],"award-info":[{"award-number":["MR\/W003740\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR302955"],"award-info":[{"award-number":["NIHR302955"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022419","name":"National Institute for Health Research Southampton Biomedical Research Centre","doi-asserted-by":"publisher","award":["NIHR203319"],"award-info":[{"award-number":["NIHR203319"]}],"id":[{"id":"10.13039\/501100022419","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000361","name":"Diabetes UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000361","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the experiences of women with type 2 diabetes prior to, during and after pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Six databases were systematically searched in September 2023. Qualitative studies involving women of childbearing age living with type 2 diabetes in the pre\u2010pregnancy, pregnancy and postpartum periods were included. A thematic synthesis was conducted to inductively generate themes related to the experiences of women with type 2 diabetes. Descriptive themes were mapped to the Socio\u2010Ecological Model to generate analytical themes relating to the personal, interpersonal and organisational level impacts that underlie women's experiences. Study quality was assessed using the CASP checklist for qualitative studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven papers from seven countries met the inclusion criteria. Four themes containing six subthemes were generated. At a personal level, women prioritised their desire to plan a family over <jats:italic>\u2018family planning\u2019<\/jats:italic>; however, once pregnant they were fearful for the future health of their children. At the interpersonal level, women reported that their self\u2010efficacy was influenced by family and socio\u2010cultural factors which often lacked diabetes\u2010specific information. At the organisational level, women described a fragmented healthcare system and felt that healthcare professionals' unfamiliarity with the reproductive health needs of women with type 2 diabetes resulted in ineffective integration into their diabetes care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The provision of appropriate care to women with type 2 diabetes prior to and during pregnancy is inadequate, leaving them vulnerable to increased health risks and emotional distress. Innovative ways are needed to embed reproductive healthcare into mainstream diabetes management for women with type 2 diabetes prior to and post\u2010pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.70094","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T07:44:32Z","timestamp":1751528672000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Experiences of women with type 2 diabetes during the pre\u2010pregnancy, pregnancy and postpartum periods: A systematic review of qualitative studies"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4621-1829","authenticated-orcid":false,"given":"Lily","family":"Hopkins","sequence":"first","affiliation":[{"name":"Department of Non\u2010Communicable Disease Epidemiology, Faculty of Epidemiology and Population Health London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noreen","family":"O'Leary","sequence":"additional","affiliation":[{"name":"School of Population Health Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7607-4426","authenticated-orcid":false,"given":"Aileen","family":"Burton","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4797-1459","authenticated-orcid":false,"given":"Eleanor","family":"Dyer","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela C.","family":"Flynn","sequence":"additional","affiliation":[{"name":"School of Population Health Royal College of Surgeons in Ireland  Dublin Ireland"},{"name":"Department of Nutritional Sciences, School of Life Course and Population Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sowmiya","family":"Gunabalasingam","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course and Population Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Heslehurst","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artemis","family":"Kyrka","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course and Population Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rivka","family":"Lebrett","sequence":"additional","affiliation":[{"name":"Clalit Health Services  Rehovot Israel"},{"name":"Salford Royal Hospital, North West of UK Foundation School  Salford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4176-8329","authenticated-orcid":false,"given":"Claire L.","family":"Meek","sequence":"additional","affiliation":[{"name":"Leicester Diabetes Centre and Leicester NIHR Biomedical Research Centre University of Leicester, Leicester General Hospital  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7652-990X","authenticated-orcid":false,"given":"Danielle A. 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