Prevalence of Depression in Gestational Diabetes Mellitus in Public hospital

• Aparajitha Rajkumar,  
• S Abhideep,  
• Haritha Harikrishnan,  
• S Shivani,  
• A Shanmugam,  
• V Seshiah,  
• V Vanitha,  
• Rajesh Jain*

Abstract

Abstract: Aims: This study aimed to determine whether antenatal women with Gestational diabetes mellitus (GDM) have a higher prevalence of symptoms of depression compared to antenatal women without GDM. The secondary aim was to compare sociodemographic and other common factors associated with depression during the antenatal period. Methods: A cross-sectional study was conducted on 281 patients (132 diagnosed with GDM and 149 non-GDM) selected from an academic medical center. The study included women in their second and third trimesters of pregnancy, and those diagnosed with DIPSI guidelines were included in the study group. The depressive symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS) with a cut-off of greater than or equal to 11. Descriptive statistics, chi-square analysis, independent t-tests, and logistic regression were performed to analyze the data. Results: The prevalence of antenatal women with symptoms of depression in the total sample population was 28.1%. 132(38.6%) of antenatal women with GDM and 149(18.8%) of antenatal women without GDM exhibited significant symptoms of depression. Women with GDM were 2.72 times more likely to have a history of depression in the unadjusted sample (38.6% vs. 18.8%, odds ratio (OR) = 2.72, CI 1.5855 to 4.6695, p < 0.001). Logistic regression analysis indicated that the relationship with a partner was the only significant determinant of depression (p-value < 0.05). Conclusions: The study results suggest that symptoms of depression are common during the antepartum period, and thus, assessment and education regarding depression in GDM are important. It complicates further if pregnant women have depression.

Keywords

Antenatal depression, Antenatal management, Diabetes, Edinburg postnatal depressive score, Gestational diabetes mellitus, DIPSI,Diabetes in pregnancy study group India,depression