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Is There a Relationship Between Gestational Diabetes and Perinatal Depression?

Clevesy, Marcia A., DNP, WHNP-BC; Gatlin, Tricia K., PhD, RN, CNE; Strebel, Kord T., MD, FACOG

MCN: The American Journal of Maternal/Child Nursing: July/August 2018 - Volume 43 - Issue 4 - p 206–212
doi: 10.1097/NMC.0000000000000439
Feature

Perinatal depression (PND) is one of the leading complications associated with childbirth. Early detection and treatment of depression, particularly during the perinatal period, is essential for the promotion of positive maternal–child outcomes. Gestational diabetes mellitus (GDM) has been suggested as a confounding factor associated with PND. Concerns associated with PND include interference with maternal–newborn bonding and long-term effects of neurobehavioral consequences. An exemplar case describing one woman's experience with GDM and her subsequent complications associated with PND is presented to discuss maternal depression and its plausible association with GDM. Recommendations include universal screening with the validated Edinburgh Postnatal Depression Scale screening tool during the early perinatal period to reduce incidence of maternal–newborn complications associated with PND and promote underpinnings for best practice.

The association between gestational diabetes and perinatal depression may be supported by shared physiologic and psychosocial influences, which appear to be bidirectional among these co-morbid conditions. The combination of gestational diabetes and perinatal depression requires further assessment and intervention as there are increased risks for adverse outcomes for mothers with these conditions and their babies.

Marcia A. Clevesy is an Assistant Professor, University of Nevada, Las Vegas, Las Vegas, NV.

Tricia K. Gatlin is an Associate Professor, University of Nevada, Las Vegas, Las Vegas, NV. The author can be reached via e-mail at tricia.gatlin@unlv.edu

Kord T. Strebel, is Medical Director, Women's Health Associates of Southern Nevada, Las Vegas, NV.

The authors declare no conflicts of interest.

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