Perceptions of Pregnancy, Maternal Spirituality, and Family Support among Pregnant Women with Diabetes Mellitus

Authors

  • Titaree Phanwichatkul Faculty of Nursing, Suratthani Rajabhat University
  • Sirikanok Klankhajhon Faculty of Nursing Naresuan University
  • Soawapruek Choyyok Faculty of Nursing, Suratthani Rajabhat University
  • Sadakan Eamchunprathip Faculty of Nursing Naresuan University

Keywords:

Perception of Pregnancy, Family Support, Maternal Spirituality, Pregnant Women with Diabetes Mellitus, Qualitative Study

Abstract

This qualitative study explored the perceptions of pregnancy, maternal spirituality, and family support among pregnant women diagnosed with diabetes mellitus. The primary participants were 10 pregnant women with diabetes, while the secondary participants comprised six of their family members. Both groups were selected through purposive sampling. Data were collected through in-depth interviews and analyzed using content analysis. Findings were organized into three main themes:

1) Perceptions of Pregnancy: Participants expressed a strong sense of motherhood and emotional connection to their pregnancies. Motherhood was perceived as a source of joy and goodwill toward the unborn child, as well as a role marked by duty, sacrifice, and perseverance—particularly in managing the challenges of diabetes during pregnancy. 2) Maternal Spirituality: Spiritual beliefs and practices emerged as significant sources of inner strength, resilience, and emotional support. These spiritual resources empowered the women to face health-related and emotional challenges with a positive outlook. 3) Family Support: Participants reported receiving comprehensive support from family members. This included emotional encouragement, practical assistance (e.g., accompanying them to prenatal appointments, preparing diabetes-friendly meals, helping with insulin administration), financial provision, and shared responsibility for household tasks. Such support played a crucial role in promoting physical well-being and emotional stability during pregnancy. Overall, the pregnant women demonstrated a positive perception of pregnancy, strong  maternal spirituality, and deep emotional bonds with their unborn children. Substantial family support further reinforced their confidence and ability to manage their condition throughout the  pregnancy journey.

These findings have practical implications for healthcare providers and family caregivers,  offering a foundation for developing culturally sensitive and holistic support programs that promote maternal well-being and successful adaptation to motherhood.

References

Al-Mutawtah, M., Campbell, E., Kubis, H.-P., & Erjavec, M. (2023). Women’s experiences of social support during pregnancy: A qualitative systematic review. BMC Pregnancy and Childbirth, 23(1), 782.

Amphai, S., Kantaruksa, K., Sriarporn, P., & Sansiriphun, N. (2021). A grounded theory of the transition from a high-risk pregnancy to motherhood among women in northern Thailand. Pacific Rim International Journal of Nursing Research, 25(2), 213-228.

Attard, J. (2023). Spirituality and Spiritual Care in the Transition to Motherhood Perspectives on Midwifery and Parenthood (pp. 181-192): Springer.

Biagioni, E. M., May, L. E., & Broskey, N. T. (2021). The impact of advanced maternal age on pregnancy and offspring health: A mechanistic role for placental angiogenic growth mediators. Placenta, 106, 15-21.

Braun, V., & Clarke, V. (2022). Thematic Analysis: A practical guide: sage London. Brunton, R., Simpson, N., & Dryer, R. (2020). Pregnancy-related anxiety, perceived parental self-efficacy and the influence of parity and age. International Journal of Environmental Research and Public Health, 17(18), 6709.

Correa-de-Araujo, R., & Yoon, S. S. (2021). Clinical outcomes in high-risk pregnancies due to advanced maternal age. Journal of Women's Health, 30(2), 160-167.

Diabetes Association of Thailand. (2021). Thai diabetes bulletin. Journal of Diabetes, 50(2).

Fagbamigbe, A. F., Olaseinde, O., & Fagbamigbe, O. S. (2021). Timing of first antenatal care contact, its associated factors and state-level analysis in Nigeria: a cross-sectional assessment of compliance with the WHO guidelines. BMJ open, 11(9), e047835.

Feng, Y. J., Deng, Z., Sivak, A., Yeung, R. O., & Nagpal, T. (2024). Women's perspectives to improve prenatal care for gestational diabetes: A systematic review and meta‐aggregation of qualitative studies. Acta obstetricia et gynecologica Scandinavica. 104(2), 267–287. https://doi.org/10.1111/aogs.14973

Isaacs, N. Z., & Andipatin, M. G. (2020). A systematic review regarding women’s emotional and psychological experiences of high-risk pregnancies. BMC Psychology, 8, 1-11.

Liamputtong, P., & Rice, Z. S. (2021). Qualitative Research in Global Health Research. Handbook of global health, 213-238.

Martins, S., & Gall, T. L. (2021). The role of spirituality in the lives of women coping with early motherhood. Pastoral Psychology, 70(3), 209-224.

Phanwichatkul, T. (2018). Migration Motherhood and Maternity Care in Thailand: An Ethnographic Study of the Experiences and Practices of Burmese Women and Maternity Staff. Western Sydney University (Australia).

Phanwichatkul, T., Burns, E., Liamputtong, P., & Schmied, V. (2019). Migrant burmese women living in southern Thailand and motherhood: an ethnographic study. Nursing & health sciences, 21(3), 390-398.

Phanwichatkul, T., Kownaklai, J., Chaisetsampun, W., & Yothathip, H. (2023). Health perceptions and health care of pregnant women with gestational diabetes. Journal of Nursing and Health Science Research, 15(1), 52-67. (in Thai).

Phrommasen, P., Chareonsanti, J., & Sriarporn, P. (2019). Hardiness, social support, and stress among gestatinal diabetic women. Nursing Journal, 46(3), 169-180. (in Thai).

Pilaikiat, R., & Lamloung, U. (2020). High-risk pregnant women’s spiritual experiences. Thai Journal of Nursing Council, 35(3), 121-138. (in Thai).

Schmidt, E. M., Décieux, F., Zartler, U., & Schnor, C. (2023). What makes a good mother? Two decades of research reflecting social norms of motherhood. Journal of Family Theory & Review, 15(1), 57-77.

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Published

2025-05-24

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Research Articles