Table 2 Themes and subcategories from focus group analysis

Diagnosis and aetiology of GDM

·Confusion, anxiety and concern

·Possibly due to genetic/hereditary factors

·Toxic chemicals in food

·Eating sweet foods in pregnancy.

Effects of GDM on pregnancy

·Fear of preterm birth, growth restriction, stillbirth

·Uncertainty about safest mode of delivery

·Mixed knowledge about the future risk of type 2 DM and other effects on the mother.

Dietary changes

·Confusion about exactly what to do

·Feelings of hunger and starvation

·Difficulties in replacing rice

·Confusion whether to reduce portion size or total amount consumed

·Specific food groups being prohibited or permitted (milk, fruit, red meat)

Blood glucose monitoring

·Lack of awareness of meter loan scheme

·Fear of blood loss/pain from regular finger prick testing

·Uncertainty about interpreting results

·Inconvenience of coming to the hospital for testing

Breast feeding

·Fear of transmission of GDM to the baby

·Preference for breast feeding for immune benefits

·Supplementation with formula

·Will take the advice of the doctor

Sources of information

·Sources of information from friends, family, other patients, Internet, magazines, health info phone service.

·Desire for more information, particularly about diet and explaining effects of GDM on pregnancy.

·Public clinic doctors very time pressured and unable to have time to answer all questions

·More detailed leaflets needed with specific dietary advice

·Group sessions with a senior clinician