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• W2954822339 abstract "A diagnosis of hypertensive disorders during pregnancy (HDPs) or gestational diabetes mellitus (GDM) is highly predictive of women at increased risk of developing chronic hypertension, Type 2 diabetes, and cardiovascular disease. This study investigates perceptions of women and healthcare providers in rural India regarding these long-term risks.Qualitative study using modified grounded theory.Two states in rural India: Haryana and Andhra Pradesh.Pregnant and postpartum women, community health workers (CHWs), primary care physicians, obstetricians, laboratory technicians, and healthcare officials.In-depth interviews and focus group discussions explored: (1) priorities for high-risk pregnant women; (2) detection and management of HDPs and GDM; (3) postpartum management, and (4) knowledge of long-term sequelae of high-risk conditions. A thematic analysis was undertaken.Seven focus group discussions and 11 in-depth interviews (n = 71 participants) were performed. The key priority area for high-risk pregnant women was anaemia. Blood pressure measurement was routinely embedded in antenatal care; however, postpartum follow up and knowledge of the long-term complications were limited. GDM was not considered a common problem, although significant variations and challenges to GDM screening were identified. Knowledge of the long-term sequelae of GDM with regard to an increased risk of Type 2 diabetes and cardiovascular disease among doctors was minimal.There is a need for improved education, standardisation of testing and postpartum follow up of HDPs and GDM in rural Indian settings.SN is supported by an MRC Clinical Research Training Fellowship (MR/R017182/1). The George Institute for Global Health Global Women's Health programme provided financial support for the research assistant and fieldwork costs in India.Improved education and postpartum care of women with hypertension and diabetes in pregnancy in rural India are needed to prevent long-term risks." @default.
• W2954822339 created "2019-07-12" @default.
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• W2954822339 date "2019-08-01" @default.
• W2954822339 modified "2023-09-26" @default.
• W2954822339 title "Women's and healthcare providers’ perceptions of long‐term complications associated with hypertension and diabetes in pregnancy: a qualitative study" @default.
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• W2954822339 doi "https://doi.org/10.1111/1471-0528.15847" @default.
• W2954822339 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6771686" @default.
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