Postpartum Sleep Quality as a Predictor of Physical and Mental Fatigue in Breatfeeding Women
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Original Article
VOLUME: 9 ISSUE: 3
P: 294 - 300
September 2022

Postpartum Sleep Quality as a Predictor of Physical and Mental Fatigue in Breatfeeding Women

J Turk Sleep Med 2022;9(3):294-300
1. Pamukkale Üniversitesi Sağlık Bilimleri Fakültesi, Doğum ve Kadın Hastalıkları Hemşireliği Anabilim Dalı, Denizli, Türkiye
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Received Date: 17.05.2022
Accepted Date: 04.07.2022
Publish Date: 05.09.2022
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ABSTRACT

Conclusion:

The data in this study showed that sleep quality can be effective variables in predicting physical and mental fatigue. Supporting women for baby care in the postpartum period is important in terms of improving sleep quality and eliminating physical and mental fatigue.

Results:

There is a moderately significant positive correlation between postpartum sleep quality and postpartum mental fatigue (r=0.413, p<0.05) and physical fatigue (r=0.523, p<0.05). It was determined that physical and mental fatigue were predicted by sleep problems related to infant care, physical symptoms and good sleep quality. Sleep problems related to baby care are among the variables that most affect postpartum fatigue (physical fatigue β=0.504; mental fatigue β=0.286).

Materials and Methods:

This study is descriptive, cross-sectional and relational. Postpartum women at least 2 weeks after their birth were included in the study. Data were collected between September 2021 and March 2022 using a personal information form, postpartum sleep quality scale, and Chalder fatigue scale.

Objective:

Postpartum fatigue is frequently experienced in the postpartum period. Postpartum fatigue is caused by breastfeeding problems, sleep problems and poor sleep quality. At the same time, infant feeding and care are among the causes of sleep problems and low sleep quality in the postpartum period. The aim of this study is to examine the predictive status of postpartum sleep quality for physical and mental fatigue in breastfeeding women.

Keywords:
Sleep quality, postpartum, fatigue, breastfeeding

References

1
Henderson J, Alderdice F, Redshaw M. Factors associated with maternal postpartum fatigue: an observational study. BMJ Open 2019;9. doi: 10.1136/bmjopen-2018-025927.
2
Badr HA, Zauszniewski JA. Meta-analysis of the predictive factors of postpartum fatigue. Appl Nurs Res 2017;36:122-7.
3
Chau V, Giallo R. The relationship between parental fatigue, parenting self-efficacy and behaviour: implications for supporting parents in the early parenting period. Child Care Health Dev 2015;41:626-33.
4
Giallo R, Gartland D, Woolhouse H, Brown S. Differentiating maternal fatigue and depressive symptoms at six months and four years post partum: Considerations for assessment, diagnosis and intervention. Midwifery 2015;31:316-22.
5
Iwata H, Mori E, Sakajo A, Aoki K, Maehara K, Tamakosh K. Course of maternal fatigue and its associated factors during the first 6 months postpartum: a prospective cohort study. Nurs Open 2018;5:186-96.
6
Wilson N, Lee JJ, Bei B. Postpartum fatigue and depression: A systematic review and meta-analysis. J Affect Disord 2019;246:224-33.
7
Lai YL, Hung CH, Stocker J, Chan TF, Liu Y. Postpartum fatigue, baby-care activities, and maternal–infant attachment of vaginal and cesarean births following rooming-in. Appl Nurs Res 2015;28:116-20.
8
Khatun F, Lee, TW, Rani E, Biswash G, Raha P, Kim S. The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh. Korean J Women Health Nurs 2018;24:49-57.
9
Senol DK, Yurdakul M, Ozkan SA. The effect of maternal fatigue on breastfeeding. Niger J Clin Pract 2019;22:1662-8.
10
Tsuchiya M, Mori E, Sakajo A, Iwata H, Maehara K, Tamakoshi K. Cross-sectional and longitudinal validation of a 13-item Fatigue Scale among Japanese postpartum mothers. Int J Nurs Pract 2016;22(Suppl 1):5-13.
11
Hacılar A, Egelioğlu Çetişli N. Annnelerin Postpartum Hemoglobin Düzeyinin Doğum Sonu Yaşam Kalitesi, Yorgunluk ve Depresyon Üzerine Etkisi. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2021;6:63-70.
12
Creti L, Libman E, Rizzo D, Fichten CS, Bailes S, Tran DL, Zelkowitz P. Sleep in the Postpartum: Characteristics of FirstTime, Healthy Mothers. Sleep Disord 2017. doi: 10.1155/2017/8520358.
13
Gallaher K, Slyepchenko A, Frey BN, Urstad K, Dørheim SK. The Role of Circadian Rhythms in Postpartum Sleep and Mood. Sleep Med Clin 2018;13:359-74.
14
Lambermon F, Vandenbussche F, Dedding C, van Dujinhoven N. Maternal self-care in the early postpartum period: An integrative review. Midwifery 2020;90. doi: 10.1016/j.midw.2020.102799.
15
Rohr JC, Nowakowski S, Orff HJ, Pary BL. Sleep in women during pregnancy and postpartum. Reference Module in Neuroscience and Biobehavioral Psychology 2021. doi.org/10.1016/B978-0-12-822963-7.00060-8
16
Astbury L, Bennett C, Pinnington DM, Bei B.Does breastfeeding influence sleep? A longitudinal study across the first two postpartum years. Birth 2022. doi: 10.1111/birt.12625.
17
Dünya Sağlık Örgütü (DSÖ). Breastfeeding [Internet]. 2022. Accessed: April 26, 2022. Available from: https://www.who.int/health-topics/breastfeeding#tab=tab_1
18
Yang CL, Yu CH, Chen CH. Development and validation of the postpartum sleep quality scale. J Nurs Res 2013;21:148-54.
19
Boz İ, Selvi N. Testing the Psychometric Properties of the Postpartum Sleep Quality Scale in Turkish Women. J Nurs Res 2018;26:385-92.
20
Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, Wallace EP. Development of a fatigue scale. J Psychosom Res 1993;37:147-53.
21
Cella M, Chalder T. Measuring fatigue in clinical and community settings. J Psychosom Res 2010;69:17-22.
22
Adın RM. Chalder Yorgunluk Ölçeği’nin Türkçe’ye Uyarlanması ve Genç Yetişkin Bireylerde Psikometrik Özelliklerinin İncelenmesi. Yüksek Lisans Tezi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara, 2019.
23
Erçel Ö, Kahyaoğlu Süt H. Sleep Quality and Quality of Life in Postpartum Woman. Journal of Turkish Sleep Medicine 2020;7:23-30.
24
Yang Y, Li W, Ma TJ, Zhang L, Hall BJ, Ungvari GS, Xiang YT. Prevalence of Poor Sleep Quality in Perinatal and Postnatal Women: A Comprehensive Meta-Analysis of Observational Studies. Front Psychiatry 2020;11:161.
25
Wainberg M, Jones SE, Beaupre LM, Hill SL, Felsky D, Rivas MA, Lim ASP, Ollila HM, Tripathy SJ. Association of accelerometer-derived sleep measures with lifetime psychiatric diagnoses: A cross-sectional study of 89,205 participants from the UK Biobank. PLoS Med 2021;18. doi: 10.1371/journal.pmed.1003782.
26
Simsek A, Balkan E, Caliskan E. Determination of mothers' thoughts and adaptation behaviors regarding the infant: A descriptive study. Pediatr Neonatol 2022;63:276-82.
27
Gordon LK, Mason KA, Mepham E, Sharkey KM. A mixed methods study of perinatal sleep and breastfeeding outcomes in women at risk for postpartum depression. Sleep Health 2021;7:353-61.
28
Khadka R, Hong SA, Chang YS. Prevalence and determinants of poor sleep quality and depression among postpartum women: a community-based in Ramechhap district, Nepal. Int Health 2020;12:125-31.
29
Horibe K, Isa T, Matsuda N, Murata S, Tsubo Y, Okumura M, Kawaharada R, Kogaki M, Uchida K, Nakatsuka K, Ono RA. Association between sleep distrubance and low back and pelvic pain in 4- month postpartum women: A cross-sectional study. Eur Spine J 2021;30:2983-8.
30
Ko SH, Chen CH, Wang HH, Su YT. Postpartum women's sleep quality and its predictors in Taiwan. J Nurs Scholarsh 2014;46:74-81.
31
Medic G, Wille M, Hemels MEH. Short- and long-term Health consequences of sleep distruption. Nat Sci Sleep 2017;9:151-61.