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. 2021 Jul 9;21:500. doi: 10.1186/s12884-021-03981-5

Table 4.

Identified themes and sub-themes

Major themes Sub-themes
Heterogeneity of South Asian women • Diversity in language, religion, practices and attitudes; but universality in ‘lack of self-care’

Health care providers: Major challenges

○ Information provision

○ Providing optimal GDM care

• Busy clinics, no time to individualise information

• Difficulty managing vegetarians

• Difficulty emphasising importance of exercise in pregnancy

Women: Major challenges

○ Information on lifestyle modification

• Food

• Exercise

• Lack of culture specific advice

• Confusion – lifestyle messages unclear

▪ Relating to food types, portion size, cooking methods, timing

▪ Exercise in pregnancy

• One size fits all approach – no advice pertaining to women’s cultural and regional food consumption patterns

Women’s GDM experiences:

○ GDM controlling pregnancy

• Constant state of hunger

• Pregnancy experience related to checking blood sugars all the time

• Increasing diagnosis of GDM in pregnancy