The impact of gestational diabetes mellitus on perceived mother-infant bonding: a qualitative study.

IF 2.1 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Journal of Reproductive and Infant Psychology Pub Date : 2025-03-01 Epub Date: 2023-07-26 DOI:10.1080/02646838.2023.2239834

Madeleine Benton, Jessica Bird, Susan Pawlby, Khalida Ismail

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Abstract

Background: The prevalence of gestational diabetes mellitus (GDM) is rapidly increasing. It is associated with adverse physical and mental health outcomes for women and their babies. Mother-infant bonding is important for maternal health and infant development, but the effect of GDM on mother-infant bonding has not been examined.

Objective: To explore and describe the impact of GDM on perceived mother infant-bonding in the antenatal and postnatal period.

Methods: Qualitative, individual, semi-structured interviews were conducted with 33 women from diverse backgrounds with current or previous GDM. Data were analysed using reflexive inductive thematic analysis.

Results: Three main themes were generated from the analysis: 1) Concern for baby's health and its impact on bonding; 2) GDM management, the pregnancy experience, and bonding; 3) Continuity and discontinuity of the impact on bonding between the antenatal and postnatal periods.

Conclusion: It was found that GDM can have both positive and negative impacts on perceived mother-infant bonding, which appear to change over the course of the perinatal period. Further observational research is needed to assist in understanding the impact of GDM on mother-infant bonding and the potential mediating effect of mental disorders, including depression.

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妊娠期糖尿病对母婴关系感知的影响:一项定性研究。

背景:妊娠期糖尿病(GDM)的患病率正在迅速上升。它与妇女及其婴儿的不利身心健康结果有关。母婴关系对母亲健康和婴儿发育具有重要意义，但GDM对母婴关系的影响尚未得到研究。目的:探讨和描述GDM对产前和产后感知母婴结合的影响。方法:对来自不同背景的33名目前或以前患有GDM的妇女进行定性、个人、半结构化访谈。数据分析采用反身归纳专题分析。结果:从分析中得出三个主要主题:1)对婴儿健康的关注及其对亲子关系的影响;2) GDM管理、孕期体验、粘接;3)产前和产后对亲子关系影响的连续性和非连续性。结论:本研究发现GDM对母婴亲密感有积极和消极的影响，这种影响在围产期发生变化。需要进一步的观察研究来帮助理解GDM对母婴关系的影响以及精神障碍(包括抑郁症)的潜在中介作用。

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来源期刊

Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.80

自引率

8.00%

发文量

期刊介绍： The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.