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. 2017 Nov 28;7(11):e017648. doi: 10.1136/bmjopen-2017-017648

Table 5.

Meaning unit, condensations, subthemes included in the fourth theme (trying to adjust and adapt to life with GDM)

Meaning unit Condensation Subtheme
‘Slowly and slowly … Everything seems to be OK, I enjoy my pregnant months. … I don’t know why I was so nervous in the early pregnant period. … My baby is growing and growing, and my belly is also bigger and bigger. I will think how my baby looks like in the future. The bigger my belly is, the more happiness I have. I am becoming a mother.’ (Participant 5) Enjoy being a mother Gradually adapting to being a mother with GDM
‘I relax my emotion and keep a peaceful mood … It will influence my sleep if I am upset, thus I won’t sleep well. If I have a good emotion, I will be happy, and my body and mood will be in a good situation. It is certainly good to my health.’ (Participant 7) Try to be happy for the health of baby and themselves
‘I know much about the GDM knowledge now. I pay more attention to my diet. I do more exercise. I think that I will be easy to get diabetes in the future, so I will pay attention to my diet, and I won’t be lazy and will do more exercise.’ (Participant 14) Try to be in a healthy lifestyle Trying to keep balance in life
‘My mother in law thinks that a pregnant woman is easy to be hit by a ghost when she goes out in the evening … I do not insist on going out for a walk in the evening … I do exercise at lunch time. Anyway, just follow her saying. I hope I can be filial to my parents in law, I try not to be against their ideas as much as possible on behaviour and talking, although I sometimes do not like their old-fashioned views.’ (Participant 4) Avoid practical difficulties
‘I think that GDM is an alarm for me. It tells me that I will be easy to get type 2 diabetes in the future.’ (Participant 28) Think GDM is an alarm for the future health Continuously reflecting on GDM
‘I worried about that my baby will get diabetes in the future, because I think that living with diabetes is really a very painful thing. It will restrict his freedom, for example, he cannot eat what he wants to eat. … Chinese people look at food as heaven … It affects life much … I also fear that I will get diabetes when I am old.’ (Participant 55) Reflect on the effects of GDM on the future health
‘I feel that the doctor isn’t professional. She doesn’t pay attention to GDM … I know most of the knowledge about GDM from internet … The dissmeniation and health education about GDM are not enough. Therefore, some severe consequences, such as a baby dying in stomach, happened … It is important to make society pay attention to GDM.’ (Participant 10) Reflect on the health education about GDM

GDM, gestational diabetes mellitus.