Journal of International Psychiatry

【Abstract】 Objective To carry out follow-up observation on Gestational Diabetes Mellitus (GDM) complicated with postpartum depression and analyze its related factors.Methods 100 patients with GDM admitted to our hospital from January 2022 to January 2023 were included in the study. Six weeks after delivery, they were divided into two groups according to the Hamilton Depression Rating Scale (HAMD): 24 patients with depression (HAMD≥8) and 76 patients with non-depression (HAMD < 8).The incidence of postpartum depression in GDM patients was recorded, the baseline data of patients were compared, and the risk factors of postpartum depression in GDM patients were analyzed by multivariate Logistic regression.Results Among 100 GDM patients, 24 cases (24.00%) suffered from depression six weeks after delivery, including 13 cases of mild depression (54.17%), 8 cases of moderate depression (33.33%) and 3 cases of severe depression (12.50%). Compared with the non-depressed group, the relationship between husband and wife, the newborn's gender not meeting expectations, postpartum sleep disorder and the newborn's illness were statistically significant (P < 0.05). Multivariate Logistic regression analysis confirmed that poor relationship between husband and wife, newborn's gender not meeting expectations, postpartum sleep disorder and newborn's illness were the risk factors for GDM patients' postpartum depression (P < 0.05).Conclusion Poor marital relationship, gender mismatch in newborns, postpartum sleep disorders, and newborn diseases are risk factors for postpartum depression in GDM patients, which can provide reference for early diagnosis and intervention of postpartum depression in patients.

【Key words】Gestational Diabetes Mellitus;postpartum depression;Hamilton Depression Rating Scale;Hamilton Depression Rating Scale