Normative longitudinal maternal sleep: the first 4 postpartum months

Montgomery‐Downs, Hawley E.; Insana, Salvatore; Clegg-Kraynok, Megan M.; Mancini, Laura M.

doi:10.1016/j.ajog.2010.06.057

Cited by 134 publications

(138 citation statements)

References 31 publications

(23 reference statements)

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“…Interestingly, when we considered depressive categorization based on the median split of 14, we found a significant difference in sleep characteristics of mothers with high and low depressive symptoms. Both groups of mothers failed to meet the NSF's recommendation of 420 minutes of nocturnal sleep time and fell short of the average sleep time for postpartum women (7.2 ± .95 hours) with a term healthy newborn [46] . Our study population was distinct from Montgomery-Downs and colleagues' normative sleep findings that included non-depressed, predominantly Caucasian mothers with healthy full-term infants.…”

Section: Discussionmentioning

confidence: 86%

Depressive symptoms and the relationship of stress, sleep, and well-being among NICU mothers

Shelton

Meaney‐Delman

Hunter

et al. 2014

JNEP

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Objective: To compare the level of self-reported perceived global and situational stress, sleep disturbance, and the level of wellness between mothers with an infant in Neonatal Intensive Care Units (NICU) who are categorized as having high or low depressive symptoms.Methods: Cross-sectional comparative design which included 55 first-time mothers who were in their second postpartum week and had a preterm infant admitted to the NICU of three urban hospitals in the southeastern United States. Participants wore wrist actigraphy and completed sleep diary for 2-3 days, in addition to completing self-report questionnaires for depressive symptoms, stress, perceived sleep disturbance, and well-being. Participants were categorized as having high (≥ 13) or low (< 13) depressive symptoms by using the total score of Edinburgh Postnatal Depression Scale.Results: Approximately 62% of the study participants reported high depressive symptoms. Mothers with high depressive symptoms reported greater stress and less well-being compared to those with less depressive symptoms. With the exception of wake after sleep onset, there was no statistically significant difference in the sleep between the two groups; all of the mothers had clinically significant poor sleep. Conclusions:Mothers of infants in the NICU who experienced higher depressive symptoms also reported greater stress and experienced poorer sleep; altogether, this may compromise one's ability to learn and care for a child in the NICU. Nurses and members of the healthcare team should be attuned to signs and symptoms of depression, perhaps incorporating more formal screening of mothers, educational and support resources, and referral systems.

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Section: Discussionmentioning

confidence: 86%

Depressive symptoms and the relationship of stress, sleep, and well-being among NICU mothers

Shelton

Meaney‐Delman

Hunter

et al. 2014

JNEP

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“…The precipitous drop in hormone levels after the birth and unpredictable infant sleep patterns can affect a new mother’s sleep. Longitudinal studies have documented that the first six months postpartum are associated with a significant increase in wake after sleep onset and a decrease in sleep efficiency compared to the last trimester of pregnancy 46,55,74,86,87 . Fatigue and lack of energy remain high from pregnancy into postpartum period through the first year after delivery.…”

Section: Postpartummentioning

confidence: 99%

Sleep and Women’s Health

2013

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Sex differences in sleep begin at a very early age and women report poorer sleep quality and have higher risk for insomnia than do men. Sleep may be affected by variation in reproductive hormones, stress, depression, aging, life/role transitions, and other factors. The menstrual cycle is associated with changes in circadian rhythms and sleep architecture. Menstruating women (even without significant menstrual-related complaints) often report poorer sleep quality and greater sleep disturbance during the premenstrual week compared to other times of her menstrual cycle. In addition to these sleep disturbances, women with severe premenstrual syndrome often report more disturbing dreams, sleepiness, fatigue, decreased alertness and concentration during the premenstrual phase. Sleep disturbances are also commonly reported during pregnancy and increase in frequency and duration as the pregnancy progresses. The precipitous decline in hormones and unpredictable sleep patterns of the newborn contribute to and/or exacerbate poor sleep and daytime sleepiness during the early postpartum period. Insomnia is also among the most common health complaints that are reported by perimenopausal women. Women are particularly vulnerable to developing insomnia disorder during these times of reproductive hormonal change. In this review, we present a discussion on the most relevant and recent publications on sleep across the woman’s lifespan, including changes in sleep related to menstruation, pregnancy, postpartum, and the menopausal transition. Treatment for sleep disturbances and insomnia disorder and special considerations for treating women will also be discussed.

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“…9 However, mother-infant separation carries no benefit in the mother's recovery from birth and may actually impede breastfeeding success. 10,11 Dispelling the perceived need for mother-infant separation proved to be a difficult challenge. We addressed the challenge by using the in-service teaching model once more, again drawing from the volumes of evidence to support this practice.…”

Section: Rooming-inmentioning

confidence: 99%

Overcoming Barriers to Baby-Friendly Status

McKeever

Fleur

2012

J Hum Lact

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The journey toward Baby-Friendly status at Jersey Shore University Medical Center in Neptune, NJ began with a desire to improve overall breastfeeding rates at the hospital. Although evidence showed that hospitals that incorporated some or all of the Ten Steps to Successful Breastfeeding had improved breastfeeding rates, it was difficult to overcome barriers that prevented the hospital physicians and nursing staff from seeing the value in adopting this quality initiative. Long-standing practices combined with misinformation compounded the problem. That situation changed when several factors nationally and statewide came together to create a prime environment for implementation of the Baby-Friendly Hospital Initiative. This article will discuss the barriers that one hospital encountered and the strategies used to overcome these common barriers to achieving Baby-Friendly status. This hospital is not yet designated as Baby-Friendly but is awaiting the outcome of a site visit in 2012.

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Normative longitudinal maternal sleep: the first 4 postpartum months

Cited by 134 publications

References 31 publications

Depressive symptoms and the relationship of stress, sleep, and well-being among NICU mothers

Depressive symptoms and the relationship of stress, sleep, and well-being among NICU mothers

Sleep and Women’s Health

Overcoming Barriers to Baby-Friendly Status

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