{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:10:13Z","timestamp":1790269813038,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":266,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008247","name":"University of Otago","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008247","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Diabetes Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>South Asian (SA) women in New Zealand face a disproportionately high risk of developing gestational diabetes mellitus (GDM) and subsequent Type 2 diabetes (T2D). Despite this elevated risk, significant gaps exist in culturally appropriate care for GDM and long\u2010term postpartum follow\u2010up. This qualitative study explored the experiences of SA women to identify the gaps and barriers encountered during and after GDM in transitioning from antenatal GDM care to postpartum primary healthcare and seek suggestions for improvement. To inform culturally responsive care strategies that can reduce the risk of progression to T2D after GDM, 30 semi\u2010structured in\u2010depth interviews were conducted with SA women diagnosed with GDM within the past 5 years. Participants were recruited through purposive sampling across New Zealand. Interviews were transcribed verbatim and analysed using an inductive thematic approach. Six key themes with sub\u2010themes were developed: (1) awareness and education; (2) culturally tailored resources; (3) community support; (4) moving backwards to an unhealthy lifestyle; (5) preventing T2D; and (6) improving GDM and postpartum care. Participants advocated for prepregnancy or early counselling, community\u2010based education to reduce stigma, culturally relevant dietary guidance, subsidised follow\u2010up healthcare providers and structured long\u2010term postpartum follow\u2010up. The emotional burden of GDM and inconsistent healthcare communication were also prominent concerns. The findings highlight the need for integrated, culturally congruent and continuous care models for SA and ethnicities at high risk during and after GDM. Incorporating women\u2032s suggestions based on their lived experiences into service design may improve postpartum health outcomes and reduce future risk of GDM and T2D.<\/jats:p>","DOI":"10.1155\/jdr\/8712576","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:46:32Z","timestamp":1790268392000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["South Asian Women\u2032s Perspectives and Recommendations on Gestational Diabetes Care and Postpartum Type 2 Diabetes Prevention in Aotearoa New Zealand: A Qualitative Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6656-2063","authenticated-orcid":false,"given":"Sumera Saeed","family":"Akhtar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9939-8773","authenticated-orcid":false,"given":"Sharon","family":"Leitch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.5.1047"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)08599-9"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042973"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijem.IJEM_57_21"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12645"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-1036"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v6.i8.1024"},{"key":"e_1_2_14_8_2","volume-title":"Census Ethnic Group Summaries","author":"Statistics New Zealand","year":"2023"},{"key":"e_1_2_14_9_2","volume-title":"Ethnic Group (Detailed Total Response - Level 4), by Age Group and Sex, for the Census Usually Resident Population Count, 2006, 2013, and 2018 Censuses <The Use and Value of Qualitative Methods.pdf>","author":"Statistics New Zealand","year":"2019"},{"key":"e_1_2_14_10_2","volume-title":"National Women\u2032s Health 2021 P\u016brongo Haumanu \u0101 tau Annual Clinical Report","author":"National Women\u2032s Health","year":"2021"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-016-3985-5"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2021-067946"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.11.1098"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-018-2649-0"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/edn.150"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732314524636"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2016.12.003"},{"key":"e_1_2_14_18_2","first-page":"45","article-title":"Developing a Cultural Responsiveness Framework in Healthcare Systems: An Australian Example","volume":"9","author":"Babacan H.","year":"2012","journal-title":"Diversity and Equality in Health and Care"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.4103\/0976-0105.141942"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"e_1_2_14_21_2","volume-title":"Basics of Qualitative Research. 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