Abstract
Objective: Aim of the study was to assess the Gestational Diabetes Mellitus (GDM) related stress among pregnant women using an online mobile application based specific stress scale for GDM.
 Methods: This was a prospective observational study. All GDM patients who have used the Gestational Diabetes Stress Scale (GDSS)-mobile application within the study period were included (176 patients). Their total and subscale stress scores were analyzed.
 Results: This study found that 52.84% of the total population needed clinical attention for GDM related stress. The subscale scores revealed that 65.91% of the population needed clinical attention for emotional burden, 15.34% of the population needed clinical attention for medication-related stress, 69.89% of the population needed clinical attention for social or economical stress and 36.36% of the population needed clinical attention for health care set up related stress.
 Conclusion: Based upon this study we conclude that GDSS is a good invention. There existed a gap in measuring GDM related stress in pregnant women and GDSS is a solution for the same.
Highlights
Gestational Diabetes Mellitus (GDM) is a condition of any degree of glucose intolerance with onset or first detected during pregnancy
Highest number of population 118 (67.04%) of the study population were in the third trimester during the study period, 41 (23.30%) of the population were in the second trimester and the least of the population, 17 (9.66%) were in the first trimester
This study indicated 52.84% of the total population needed clinical attention for GDM related stress which is a significant amount and proper precaution must be given to stress management while preparing an action plan for GDM management
Summary
Gestational Diabetes Mellitus (GDM) is a condition of any degree of glucose intolerance with onset or first detected during pregnancy. Prevalence of GDM increasing worldwide (21 million new cases per year) [1]. According to International diabetes federation, 16% of the children born alive in 2013 had complications due to hyperglycemia. GDM can cause complications in both mother and foetus. Major Fetal complications are Macrosomia, spontaneous abortion, congenital malformation and intrauterine death and maternal complications and risk of diabetes recurrence in future pregnancies, the future possibility of diabetes mellitus, polyhydramnios, pregnancy toxemia, urinary tract infection, candidiasis, higher incidence of premature childbirth and caesarean delivery[3]. Studies found that prevalence of diabetes is high among females [4] and GDM can further increase the risk for the same
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