TY - JOUR
T1 - A comparison of the mother-infant relationship in mothers with and without gestational diabetes mellitus
T2 - An analysis of the Growing Up in Scotland cohort
AU - Staite, Emily
AU - Summers, S.J.
AU - Pawlby, Susan
AU - Ismail, Khalida
AU - Wilson, Christopher J.
AU - Wloszek, Magdalena
PY - 2023/8/9
Y1 - 2023/8/9
N2 - Background There is an increased risk of depressive symptoms in women with gestational diabetes mellitus (GDM). Poor maternal mental health can impact the mother-infant relationship which can cause problems in the perinatal period. However there is little research which examines the mother-infant relationship in women with GDM. Aims To test the hypotheses that 1) GDM is associated with a perceived difficult mother-infant relationship in the first year of an infant's life in a cohort of women recruited in pregnancy compared to mothers who do not have GDM and 2) poor maternal mental health mediates the relationship between GDM and the mother-infant relationship Study design A retrospective analysis of a Scottish cohort database using mediation analysis. Subjects The dataset included 5,289 women (n=204 GDM, n=5,085 no GDM). Outcome measures The Maternal Postnatal Attachment Scale measured the mother-infant relationship. The SF-12 Mental Health Component Score measured maternal mental health. Results GDM does not predict maternal mental health (path a). Poor maternal mental health is significantly associated with a perceived difficult mother-infant relationship (path b). The direct effect of GDM on the mother-infant relationship (path c) was not statistically significant. The indirect effect of GDM on the mother-infant relationship via maternal mental health (mediator) was also not significant. Conclusion This is the first robust study examining the impact of GDM on the mother-infant relationship. The study did not support the hypotheses, however the results are of theoretical value, especially in the context of limited research.
AB - Background There is an increased risk of depressive symptoms in women with gestational diabetes mellitus (GDM). Poor maternal mental health can impact the mother-infant relationship which can cause problems in the perinatal period. However there is little research which examines the mother-infant relationship in women with GDM. Aims To test the hypotheses that 1) GDM is associated with a perceived difficult mother-infant relationship in the first year of an infant's life in a cohort of women recruited in pregnancy compared to mothers who do not have GDM and 2) poor maternal mental health mediates the relationship between GDM and the mother-infant relationship Study design A retrospective analysis of a Scottish cohort database using mediation analysis. Subjects The dataset included 5,289 women (n=204 GDM, n=5,085 no GDM). Outcome measures The Maternal Postnatal Attachment Scale measured the mother-infant relationship. The SF-12 Mental Health Component Score measured maternal mental health. Results GDM does not predict maternal mental health (path a). Poor maternal mental health is significantly associated with a perceived difficult mother-infant relationship (path b). The direct effect of GDM on the mother-infant relationship (path c) was not statistically significant. The indirect effect of GDM on the mother-infant relationship via maternal mental health (mediator) was also not significant. Conclusion This is the first robust study examining the impact of GDM on the mother-infant relationship. The study did not support the hypotheses, however the results are of theoretical value, especially in the context of limited research.
U2 - 10.1016/j.gpeds.2023.100076
DO - 10.1016/j.gpeds.2023.100076
M3 - Article
SN - 2667-0097
JO - Global Pediatrics
JF - Global Pediatrics
ER -