Theme | Concept | Final item wording | |
---|---|---|---|
 |  | Pregnancy version | Postnatal version |
Social environment | General social support | I feel well supported during my pregnancy. | I feel well supported during the first weeks after giving birth. |
 | People – understand challenges | I feel that people around me understand the challenges of having diabetes and being pregnant. | I feel that people around me understand the challenges of having diabetes and caring for a baby. |
 | People – support emotional | I feel emotionally supported by my partner since I became pregnant. | I feel emotionally supported by my partner since my baby has arrived. |
I feel emotionally supported by my family (e.g. parents, in-laws, brothers, sisters). | I feel emotionally supported by my family (e.g. parents, in-laws, brothers, sisters). | ||
 | Partner – support practicalities | I feel supported by my partner with the practicalities of being pregnant. | I feel supported by my partner with the practicalities of caring for our baby. |
I feel supported by my family (e.g. parents, in-laws, brothers, sisters) with the practicalities of being pregnant. | I feel supported by my family (e.g. parents, in-laws, brothers, sisters) with the practicalities of caring for my baby. | ||
 | Health professionals support | My health professionals help me to understand what I want to know. | My health professionals helped me to understand what I want to know. |
My health professionals prepared me for what to expect whilst being pregnant. | My health professionals prepared me for what to expect after giving birth. | ||
My health professionals equipped me with the skills needed to manage my diabetes while being pregnant. | My health professionals equipped me with the skills needed to manage my diabetes after giving birth | ||
I feel supported by my health professionals. | I feel supported by my health professionals. | ||
I can always talk openly with my health professionals about how I feel. | I can always talk openly with my health professionals about how I feel. | ||
My health professionals only give me information about my unborn baby’s health when I ask questions. | My health professionals only give me information about my baby’s health when I ask questions. | ||
My health professionals always discuss my care plan with me. | My health professionals always discuss my care plan with me. | ||
 | Information | I have enough information about caring for a unborn baby whilst having diabetes* | I have enough information about caring for a baby whilst having diabetes* |
 | Family interactions | My family claims they know what is best for my diabetes. | My family claims they know what is best for my diabetes. |
My family think they know what is best for my unborn baby. | My family think they know what is best for my baby. | ||
My friends think they know what is best for my diabetes. | My friends think they know what is best for my diabetes. | ||
My friends think they know what is best for my unborn baby. | My friends think they know what is best for my baby. | ||
Concerns related to physical (maternal and fetal) wellbeing | Anxiety – managing BG levels | I feel anxious managing my diabetes because my blood glucose levels have changed since becoming pregnant. | I worry about dropping my baby when I have a hypo* |
I worry more about low blood glucose levels now I am pregnant. | I worry more about low blood glucose levels now thatI have to take care of a baby. | ||
 | Anxiety – developing complications | I worry more about developing new diabetes complications since I became pregnant. | I worry more about developing new diabetes complications since I became a mother. |
 |  | I worry about my unborn baby developing diabetes. | I worry about my baby developing diabetes |
 | Awareness - diabetes | Being pregnant made me more aware about the importance of looking after my diabetes. | Being a mother has made me more aware about looking after my diabetes. |
My unborn baby’s needs always come before my diabetes care needs. | My baby’s needs always come before my diabetes care needs. | ||
Being pregnant makes me realise my own health is very important. | Having a baby makes me realise my own health is very important. | ||
 | Balancing Diabetes and pregnancy/new baby | Balancing the needs of my diabetes care and my unborn baby’s needs is a real challenge. | Balancing the needs of my diabetes care and my baby’s needs is a real challenge. |
I find it easier to prioritise my long term health goals now I am pregnant. | I find it easier to prioritise my long term health goals now I am a mother. | ||
 | Breastfeeding* |  | I received adequate information about how breastfeeding impacts on blood glucose levels.* |
My health professionals explained how breastfeeding could affect my blood glucose levels.* | |||
My health professionals explained how to manage my blood glucose levels when breast feeding.* | |||
Psychological well-being | Optimistic – healthy baby | I feel optimistic about my baby’s future health. | I feel optimistic about my baby’s future health. |
 | Optimistic – not developing complications | I feel optimistic about my personal risk of developing diabetes complications. | I feel optimistic about my personal risk of developing diabetes complications |
 | Sense of achievement | Managing my diabetes whilst being pregnant gives me a sense of achievement | Managing my diabetes whilst caring for my baby gives me a sense of achievement. |
 | Coping – with baby and diabetes | I am coping well with looking after my pregnancy and diabetes. | I am coping well with looking after both my baby and diabetes. |
 | Competence* | I feel competent overall that I can manage whatever being pregnant involves*. | I feel competent overall in caring for my baby*. |
I feel I can manage my diabetes no matter what*. | I feel I can manage my diabetes no matter what*. | ||
 | Anxiety about new role | I feel anxious about my diabetes management since becoming pregnant. | I feel anxious about my diabetes management since becoming a mother. |
 | Judgemental attitudes – others | I worry that others judge my ability to care for my unborn baby because I have diabetes. | I worry that health professionals judge my ability to care for my baby because I have diabetes. |
 | Guilt feelings | I feel guilty knowing diabetes might affect my unborn baby’s health. | I feel guilty knowing that diabetes might affect my baby’s health. |
I feel guilty about the affect my diabetes has on family and friends now I am pregnant. | I feel guilty about the affect my diabetes has on family and friends now I have a baby. | ||
 | Motivation | Being pregnant motivates me to look after my diabetes. | Having a baby motivates me to look after my diabetes. |
 | Sense of loneliness | I feel alone caring for my pregnancy. | I feel alone caring for my baby. |
 | Depression | I have little interest or pleasure in doing things since I became pregnant. | I have little interest or pleasure in doing things since I gave birth. |
I have trouble making any decisions now I am pregnant. | I have trouble making any decisions now I am a mother. | ||
 | Confidence | I feel confident I can do everything I need to do for me and my unborn baby. | I feel confident I can do everything I need to do for me and my baby. |
Miscellaneous | Financial impact of entering motherhood* | Financial costs are a barrier to managing my diabetes now I am pregnant. | Financial costs are a barrier to managing my diabetes now I am a mother. |
The financial costs of managing my diabetes worry me more now I am pregnant. | The financial costs of managing my diabetes worry me more now I am a mother. | ||
 | Internet* | The internet is the most common way I communicate with other pregnant women with diabetes.* | The internet is the most common way I communicate with other new mothers with diabetes.* |