Comparison of subjective sleep and fatigue in breast- and bottle-feeding mothers

Tobback, Els; Behaeghel, Katoesjka; Hanoulle, Ignace; Delesie, Liesbeth; Loccufier, Anne; Holsbeeck, Ann Van; Vogelaers, Dirk; Mariman, An

doi:10.1016/j.midw.2017.01.009

Cited by 21 publications

(17 citation statements)

References 32 publications

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“…For example, women with more family responsibilities exhibited negative changes in their sleep ( Robillard et al., 2021 ). On the hand, this sleep compromise can be mitigated by promoting exclusive breastfeeding practice, as shown in our results and by other authors ( Dørheim et al., 2009 ; Tobback et al., 2017 ). In this sense, babies and lactating women exhibit longer waking periods if they use formulas ( Doan et al., 2014 ).…”

Section: Discussionsupporting

confidence: 85%

Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors

et al. 2021

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Objective The 2019 coronavirus disease pandemic (COVID-19) required strict confinement measures that differentially impacted the individual's daily life. Thus, this work aimed to study postpartum women's mental health in Argentina during mandatory social isolation. Design A cross-sectional survey was conducted from May to July 2020, which included five validated questionnaires to assess postpartum depression (Postpartum Depression Screening Scale‐Short Form), insomnia (Insomnia Severity Index), memory complaints (Memory Complaint Scale), metacognition (Brief Metamemory and Metaconcentration Scale), and breastfeeding self-efficacy (Breastfeeding Self-Efficacy Scale-Short Form). Sociodemographic variables, social isolation characteristics, and breastfeeding practices were also collected. This study was conducted in accordance with the Declaration of Helsinki. Statistical analysis included zero-order correlations, multiple logistic regressions, and a set of structural equation models (SEM) to test direct and indirect effects. Goodness-of-fit indices were calculated for SEM. Setting Postpartum women were recruited from public hospitals, private health clinics, and online community recruitment in the Cordoba province (Argentina). Participants 305 postpartum women from Argentina. Measurements and findings 37% of women reported postpartum depression, 46% insomnia, 42% memory impairment, 60% low metaconcentration, 50% low metamemory, and 23% low breastfeeding efficacy. Also, significant associations were found demonstrating that social isolation promoted postpartum depression and insomnia were reciprocally related, which compromised female cognition and efficacy. This situation was aggravated in women during late postpartum, with previous children, and by low social support (e.g., family, health professionals), with non-exclusive breastfeeding being increased. Key conclusions This is the first study addressing postpartum women's mental status during social isolation in Argentina, which was a promoting factor for postpartum depression and insomnia that were reciprocally related. This situation was also aggravated by reproductive factors, such as late postpartum, multiparity, breastfeeding frequency, and non-exclusive breastfeeding. Additionally, breastfeeding self-efficacy depended on mental health status, and euthymia therefore favoured the practice of exclusive breastfeeding.

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Section: Discussionsupporting

confidence: 85%

Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors

et al. 2021

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“…We found that breastfeeding during 2–4 months postpartum helps reduce insufficient maternal sleep and that formula feeding may further aggravate the reduction of maternal sleep duration. Similar results were observed in another study, which found that breastfeeding mothers had better sleep quality than formula-feeding mothers ( 42 ). Another study concluded that breastfeeding women slept an average of 2.6 h more per day in early postpartum than formula-feeding women ( 43 ).…”

Section: Discussionsupporting

confidence: 89%

Sleep duration of lactating mothers and its relationship with feeding pattern, milk macronutrients and related serum factors: A combined longitudinal cohort and cross-sectional study

et al. 2022

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ObjectiveInsufficient sleep is common in postpartum mothers. The main objectives of this study are to explore the sleep duration among Chinese lactating mothers and preliminarily investigate the relationship between sleep duration and feeding pattern. The secondary objectives are to investigate the relationships between sleep duration and milk macronutrients and between maternal-related indicators, including melatonin (MT), growth hormone (GH), ghrelin (GHRL), glucagon-like peptide-1 (GLP-1), prolactin (PRL), and cholecystokinin (CCK).MethodsThe present study comprises a longitudinal and a cross-sectional cohort from December 2019 to December 2021. Postpartum lactating women living in Shanghai were recruited through online and offline recruitment. The subjects were included in the longitudinal cohort or cross-sectional study based on their lactation period at the time of recruitment. The longitudinal cohort included a total of 115 mothers. Human milk and feeding pattern were measured and collected at 2–4 months and 5–7 months postpartum. At four predetermined follow-up time points, data on sleep duration was collected (at the time of recruitment, 2–4 months postpartum, 5–7 months postpartum, and 12–17 months postpartum). The cross-sectional study included 35 lactating mothers (2–12 months postpartum) who reported their sleep duration and provided blood samples. Mid-infrared spectroscopy (MIRS) method was used to analyze the macronutrients of breast milk, while MT, GH, GHRL, GLP-1, PRL, and CCK in maternal blood were determined by ELISA.ResultsThe maternal sleep duration before pregnancy was 8.14 ± 1.18 h/d (n = 115), 7.27 ± 1.31 h/d (n = 113) for 2–4 months postpartum, 7.02 ± 1.05 h/d (n = 105) for 5–7 months postpartum, and 7.45 ± 1.05 h/d (n = 115) for 12–17 months postpartum. The incidence of insufficient sleep (<7 h/d) before pregnancy (12.17%) was significantly less than at any follow-up time after delivery (vs. 2–4 months postpartum, χ2 = 10.101, p = 0.001; vs. 5–7 months postpartum, χ2 = 15.281, p < 0.0001; vs. 12–17 months postpartum, χ2 = 6.426, p = 0.011). The percentage of insufficient maternal sleep was highest at 5–7 months postpartum (34.29%). No significant difference was found between the incidence of insufficient sleep at 5–7 months postpartum, 2–4 months postpartum (29.20%, χ2 = 0.650, p = 0.420), and 12–17 months postpartum (25.22%, χ2 = 2.168, p = 0.141). At 2–4 months postpartum, the frequency of formula feeding per day is related to reduced maternal sleep duration (Standardization coefficient β = −0.265, p = 0.005, Adjusted R2 = 0.061). At 2–4 months and 5–7 months postpartum, the relationship between macronutrients in breast milk and the mother's sleep duration was insignificant (all p > 0.05). Other than the positive correlation found between maternal GHRL and sleep duration (r = 0.3661, p = 0.0305), no significant relationship was observed between sleep duration and other indexes (all p > 0.05).ConclusionsPostpartum mothers generally sleep less, but there is no correlation between insufficient sleep and the macronutrient content of breast milk. Formula feeding may be related to the mother's sleep loss, while breastfeeding (especially direct breastfeeding) may be related to increased maternal sleep duration. The findings suggest that sleep duration is related to maternal serum GHRL. More high-quality studies are needed to clarify the mechanism of these findings and provide a solid theoretical basis and support references for breastfeeding.

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“…Primiparous women were affected the most by this phenomenon, compared with multiparous women [43]. A sleep deterioration and occurrence of fatigue was observed in women in the postpartum period who were performing exclusive breastfeeding as well as those using infant formula in the bottle [45].…”

Section: Discussionmentioning

confidence: 99%

Experiences of women with psychological suffering in the puerperium: interpretations and meanings

Mapelli

Gozzo

2023

Preprint

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Background: Women in Brazil are guaranteed the right to a puerperal consultation until the 42nd day of the puerperium. It has been observed that they only attend the health services for childcare consultations, and the care provided is solely focused on the newborns. This approach culminates in dissatisfaction, inadequate guidance, and unresolved care to puerperal health. Methods: A qualitative research was conducted on 27 puerperae from São Paulo, guided by the compass of the theoretical framework of symbolic interactionism and processed by the methodological framework of narrative analysis. Results: I. Disenchantments in the puerperium: groping the puerperium in concreteness; inexorable fatigue in the praxis of maternity; devotion to the care of the newborn; unpleasant bodily changes in the puerperium and fragile self-care; II. Via crucis of breastfeeding; III. Restlessness in the puerperium; IV. Nuances of psychological suffering in the puerperium. Conclusions:When entering the world of the puerperium, the difficulties encountered with the care of the newborn and breastfeeding point to the woman's susceptibility to puerperal blues, fatigue, anxiety, and puerperal depression. Moreover, other sufferings such as non-suicidal self-injury, periodic binge eating disorder, and puerperal obsessive-compulsive disorder may also occur. Nonetheless, professionals should be prepared for the detection, treatment, and follow-up of psychological depression in the puerperium.

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Comparison of subjective sleep and fatigue in breast- and bottle-feeding mothers

Cited by 21 publications

References 32 publications

Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors

Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors

Sleep duration of lactating mothers and its relationship with feeding pattern, milk macronutrients and related serum factors: A combined longitudinal cohort and cross-sectional study

Experiences of women with psychological suffering in the puerperium: interpretations and meanings

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