Date of Award




Document Type


Degree Name

Doctor of Public Health (DrPH)


Department of Health Policy, Management and Behavior

Content Description

1 online resource (ix, 155 pages) : illustrations (some color)

Dissertation/Thesis Chair

Christine T. Bozlak

Committee Members

Allison Appleton, Heather Larkin


adverse childhood experiences, biopsychosocial model, gestational diabetes mellitus, maternal depression, maternal well-being, psychosocial factors, Diabetes in pregnancy, Pregnant women, Pregnancy

Subject Categories

Epidemiology | Obstetrics and Gynecology | Public Health


Gestational diabetes mellitus (GDM) is a form of diabetes, or abnormal blood glucose (sugar) metabolism, diagnosed during pregnancy. Pregnant, non-diabetic women who are initially noted to experience high blood glucose levels during their pregnancy are considered to have GDM (ADA, 2016b). GDM has significant implications for infant and maternal morbidity and mortality, with adverse pregnancy outcomes such as infant macrosomia, difficult birth requiring cesarean section, and postpartum hemorrhage (Kamana, Shakya, & Zhang, 2015). In the majority of cases, GDM goes away once the baby is born, but around 5-10% of women with GDM go on to have type 2 diabetes immediately following their pregnancy (NIH, 2006). Having GDM presents a 20-50% increased risk for developing type 2 diabetes later on in life (CDC, 2017; NIH, 2006), increased stress levels (Hayase, Shimada, & Seki, 2014), and increased risk for postpartum depression (Hinkle et al., 2016). Increased risks to the child include greater chance for obesity as well as developing type 2 diabetes (CDC, 2017; NIH, 2006).