Prevalence and associated factors of poor sleep quality among postpartum women in North West Ethiopia: a community-based study

Abstract

Introduction Although sleep disturbance is a community problem, there is limited study in Ethiopia. Therefore, this study aimed to identify the prevalence and factors affecting postpartum poor sleep quality in women. Method A community-based cross-sectional study was conducted from July 1st to August 30th, 2021 in Gondar city. The cluster sampling method was used to address 858 study participants. The Pittsburgh Sleep Quality Index (PSQI) 19-item self-report measure of sleep quality over the past month was used to measure maternal sleep quality during the postpartum period and a global PSQI score of 5 or more was used to indicate poor sleep quality. Binary logistic regression was used to identify variable association and 95% confidence level and adjusted Odds Ratio were used to declare association. Result Poor sleep quality prevalence during postpartum period was 24.0% (95%CI: 21.3–26.9). factors significantly associated with poor sleep quality were family size [AOR = 1.76; 95% CI: (1.14–2.73)], unplanned pregnancy [AOR = 2.11; 95%CI: (1.17–3.80)], had a family history of mental illness [AOR = 3.70; 95%CI: (2.15–6.37)], had known medical disorders [AOR = 2.59; 95%CI: (1.51–4.43)], having intimate partner violence [AOR = 2.58; 95%CI: (1.78–3.75)], and women who can read and write and who complete secondary school [AOR = 2.60; 95% CI: (1.20–5.66)] and [AOR = 2.02; 95%CI: (1.16–3.53)] respectively. On the other hand, being housewife, merchant, and government-employed [AOR = 0.32; 95%CI: (0.14–0.73)], [AOR = 0.13; 95%CI: (0.05–0.34)], and [AOR = 0.38; 95%CI: (0.14–0.98)] respectively were identified to be factors significantly associated with poor sleep quality. Conclusion Poor sleep quality prevalence is high in the community of Gondar city. Thus, setting strategies to increase women’s educational level, providing health education programs to create awareness on the consequence of intimate partner violence which could reduce the violence; increasing screening for medical disorders before or during maternity period, preventing unplanned pregnancy with effective family planning method, and employing women in a certain organization will have a great role in reducing poor sleep quality.

Poor sleep quality and associated determinants among textile and garment manufacturing workers in Addis Ababa, Ethiopia

“…The prevalence of poor sleep quality found in this study is consistent with previous studies conducted in Ohio, USA (69.9% [ 34 ]) and Riyadh, Saudi Arabia (76% [ 35 ]). It was, however, higher than many previous studies conducted in Jimma, Ethiopia (65.4% [ 20 ]), Gondar (24% [ 36 ]) and Haramaya (68.4% [ 37 ]). In contrast, according to our assessment, no study report was higher than the current prevalence report.…”

Relationship between postpartum psychological disorders and emotion regulation strategies: A cross-sectional study

“…Among them, 48 participants demonstrated postpartum anxiety, depression, and sleep disorders, leading to an occurrence rate of 24.24%, consistent with the findings of Lawson et al [21] However, the postpartum anxiety incidence of 28.79% in our study differed from that of 10.0% to 20.0% reported by Pawluski et al [22] and 40.91% in the study by Li et al [23] Similarly, the postpartum depression incidence of 37.37% was much higher than that of 13.0% to 19.7% detected in previous studies. [24][25][26] In this study, the incidence of 26.77% of postpartum sleep disorders was slightly higher than that of 24.0% reported by Gessesse et al [27] Another study by Okun et al [28] highlighted that sleep conditions are closely related to anxiety and depression and that sleep disorders can aggravate postpartum anxiety and depression.…”