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Table 1 Participants’ attitudes towards T2DM prevention through postpartum interventions

From: Chinese women’s attitudes towards postpartum interventions to prevent type 2 diabetes after gestational diabetes: a semi-structured qualitative study

Postpartum interventions

Summary of participants’ main attitudes

Regular Screening for T2DM

Ongoing screening for T2DM was acceptable to most of the women sampled (n = 18, 90%)

Women felt that this would be best done at healthcare facilities, like specialized maternal and child health hospitals, and community hospitals

Lifestyle changes

Most women felt that diet and lifestyle changes would be acceptable during the postpartum period (n = 17, 85%)

Women reported lifestyle interventions are in line with their goals, like losing weight

Women felt they could be more flexible with lifestyle changes to suit their lives

Less perception of risk to the child, especially during breastfeeding


There was a wide range of attitudes towards whether or not women would be comfortable taking medications to prevent T2DM

Several women sampled stated they would refuse to participate in any drug interventions (n = 8, 40%)

Safety concerns were raised around the potential harm to both the mother and the baby

Women discussed that taking drugs for disease prevention is less acceptable in the cultural context of China

Some women were more open to taking medications they had used for BG management during pregnancy after the birth to prevent T2DM, for example insulin and metformin (n = 4, 20%)

mHealth intervention delivery

There was a strong preference for interventions delivered through mobile platforms (n = 18, 90%)

All interviewees reported using smartphone Apps /WeChat functions for maternal and child healthcare, including official Apps or WeChat functions from their hospital, as well as commercial Apps