66-LB: Poor Sleep Is Correlated with Higher Parenting Stress in Women Who Have Had Gestational Diabetes

Abstract

Background: Theoretically, women who have had GDM are likely to have increased stress levels following pregnancy related to parental stress exacerbated by concerns about personal health (e.g., development of T2DM). Such stress may negatively impact sleep, however, the relationship between parenting stress and sleep in women who have had GDM has not been well investigated. Therefore, the purpose of the study was to explore the correlations between sleep and parenting stress in people who have had GDM. Methods: Twenty-six woman (ages: 34.22 ± 3.51 years; ethnicity: African American [38.46%], Hispanic [30.77%], Caucasian [19.23%], and Asian [11.54%]; A1C: 5.78 ± .98 %; BMI: 36.28 ± 10.70; age of child from GDM pregnancy: 6.07 ± 3.95 months; number of children: range1-6; months of postpartum: 6.06 ± 3.96) who had GDM on the previous pregnancy completed self-reported questionnaires. These included Parenting Stress Index (PSI-4, SF), PROMIS Global Health-Physical (v.1.2;2a), PROMIS Fatigue (v.1.0;8a), PROMIS Sleep Disturbance (v.1.0;8b), and PROMIS Sleep-Related Impairment (v.1.0;8a). The Spearman’s correlation was used to analyze data using STATA 17.0. Results: The mean total score on the Parenting Stress Index was positively correlated with PROMIS Fatigue (Spearman’s r = 0.61, p < .01); PROMIS Sleep Disturbance (r = 0.61, p < .001); and PROMIS Sleep-Related Impairment (r= 0.57, p < .001). On the other hand, the mean total score on the Parenting Stress Index was negatively correlated with PROMIS Global Health-Physical (r = -0.58, p < .01), and was not correlated with A1C and BMI. Conclusion: In this glucose intolerant group of women with previous GDM, parenting stress was correlated with fatigue alone with sleep disturbances and impairments. In addition, parenting stress was negatively correlated with individuals’ assessment of their health. Finding suggested that it is necessary to explore the associations between parenting stress, sleep, and glucose metabolism in women who have had GDM. Disclosure M. Park: None. Y. Song: None. M. Chu: None. L. T. Quinn: None.