Effect of maternal perceived stress during pregnancy on gestational diabetes mellitus risk: A prospective case-control study

Mishra S 1 , Shetty A 2 , Rao CR 3 , Nayak S 4 , Kamath A 5

Affiliations 

  • 1 Department of Community Medicine, Himalayan Institute of Medical Sciences (HIMS), Swami Rama Himalayan University (SRHU), Swami Ram Nagar, Jolly Grant, Dehradun, Uttarakhand, 248016, India. Electronic address: surabhimishra42@gmail.com
  • 2 Department of Community Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India. Electronic address: avinash.shetty@manipal.edu
  • 3 Department of Community Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India. Electronic address: chythra.raj@manipal.edu
  • 4 Department of Obstetrics and Gynaecology, Dr. TMA Pai Rotary Hospital, Karkala, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Karnataka, 576104, India. Electronic address: sathisha.nayak@manipal.edu
  • 5 Department of Data Sciences, Prasanna School of Public Health, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India. Electronic address: asha.kamath@manipal.edu
Diabetes Metab Syndr, 2020 07 08;14(5):1163-1169.
PMID: 32673836 DOI: 10.1016/j.dsx.2020.06.048

Abstract

BACKGROUND AND AIMS: A variety of risk factors have been reported for the development of gestational diabetes mellitus (GDM). But limited review on the role of antenatal perceived stress necessitated the design of the present study to evaluate the association between GDM and perceived stress during pregnancy.

METHODS: A prospective case-control study was carried out among 100 GDM cases and 273 matched controls, attending regular antenatal clinic at two private hospitals of Karnataka. Data was collected by personal interviews using a standard questionnaire. Perceived stress was assessed using the Cohen 10-item Perceived Stress Scale. Score of ≥20 was identified as high stress. Statistical Package for the Social Sciences version 15 was used for analysis.

RESULTS: Exposure rates for high maternal perceived stress among cases during pregnancy were noted. The odds of GDM were 13 folds higher among those with high antenatal stress (≥20) compared to those with low (<20) (p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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