Partners’ influences on women’s experiences of living with and managing gestational diabetes mellitus: a qualitative evidence synthesis

Living with and managing Gestational Diabetes Mellitus (GDM) can be a significant burden for women. Previous research suggests that family support, particularly from partners, can substantially influence women's experiences of GDM. This review synthesised qualitative research examining the influence of partner support on women's experiences of living with and managing GDM. A systematic search was conducted across MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane, and ProQuest. Sixty-two articles were included, and themes were developed using Thomas and Harden's (2008) thematic synthesis approach. Confidence in the findings was assessed using the GRADE-CERQual approach. Three key themes were generated: (1) the spectrum of dyadic experiences in GDM, highlighting varying forms of partner support, including practical, emotional, and indirect support; (2) aligning partner support with women's needs, emphasising the importance of matching support with individual preferences; and (3) partner support is experienced within dyads, families, and cultural contexts, demonstrating how cultural norms shape partner involvement. Supportive partners positively influenced coping and management, while overbearing or inadequate support increased burden. Cultural expectations around support affected how support was perceived and provided. Most findings were rated as moderate confidence. Healthcare strategies could focus on education, open communication, and culturally tailored support to optimise partner involvement.