Reviewer's report
Title:Extraordinary exposed in early motherhood- a qualitative study exploring
experiences of mothers with type 1 diabetes
Version: 1Date:16 November 2010
Reviewer: Michelle Owens-Gary
Reviewer's report:
Discretionary Revisions
1. Methodological Considerations—“The participating women in our study came
from various socio-demographic backgrounds…” This is the first mention of the
various demographic backgrounds. The paper would be enhanced by a brief
discussion of the different backgrounds participants were from and if there were
any salient themes based on these backgrounds.
Minor Essential Revisions
1. Abstract—last sentence. “…wellbeing.” Change to “well-being” Look for this
throughout the manuscript.
2. Methods—Second sentence: “Data was gathered through audio taped…”
Change to “audiotaped”
3. Results—Third sentence: “…related to own unstable…” Change to: “…related
to one’s own unstable.” Make this change throughout the manuscript to “one’s
own” instead of “own.”
4. Conclusion—first sentence: “…daily life postpartum which…” A comma is
needed after postpartum.
5. There are numerous grammatical issues (almost every page) with this
manuscript. There are too many for me to list. I suggest that an editor review this
manuscript.
Major Compulsory Revisions
2. Throughout the document, the authors describe “an extraordinary exposure.”
More detailed information is needed about this concept in the paper for the
reader to follow the focus of the study.
3. There are several sentences that are awkward in structure, thus, making it
difficult for the reader to understand the major point of the sentence:
a. Background—Third sentence: “In order to minimize…planning for and going
through pregnancy should aim to achieve optimal glycemic control.” This is
unclear.
b. Background—second paragraph, last sentence: “…and if the diabetes
organization was disconnected.” It’s not clear what the authors were trying to
convey with the use of the word “organization. Did they mean an actual agency
or the coordination of diabetes care? The sentence should be restructured.
4. Background—the last sentence is unclear and would benefit from an additional
sentence that gives an example of what the author is referring to, particularly
when they refer to “unfamiliar body responses, unpredictability, etc.”
5. Disconnectedness section—last paragraph: “In addition, with one exception,
the child health care professionals seemed to have no knowledge about diabetes
in mothers of newborns.” This sentence cannot stand alone. Needs to be
supported with a quote from the qualitative data obtained.
6. Discussion—first paragraph—“A number of studies have shown positive
consequences…” Yet the authors only cite one study. Please include additional
citations.
7. Discussion—first paragraph—“An increase in resilience against psychosocial
stress has been demonstrated in breastfed children.” This sentence seems out of
place, particularly since the focus of this manuscript is on the mother, not the
child. Review the paragraph and restructure.
8. Methodological Considerations—“Furthermore, in line with experiences in
other studies, we found…” There is only one study cited. To say “in other
studies,” you must include more than one citation.
Level of interest: An article of importance in its field
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I delcare that I have no competing interests