Nursing Diagnoses for the Postpartum Woman

A Selective Review of Maternal Sleep Characteristics in the Postpartum Period

“…Both research studies, in addition to a third (Nishihara & Horiuchi, 1998) used PSG data from 1 to 6 weeks postpartum to identify two types of sleep patterns, interrupted and uninterrupted, with the uninterrupted pattern increasing with postpartum length. Tribotti, Lyons, Blackburn, Stein, and Withers' (1988) survey of 237 postpartum women reported the most prevalent sleep disturbances (66%) in the ¢rst 3 months postpartum occurred for primiparas; those with Cesarean sections had the most sleep disturbance symptomology. Walters and Lee (1996) and Signal et al (2007) reported decreased sleep e⁄ciency to be more common in primiparas than multiparas.…”

“…Tribotti, Lyons, Blackburn, Stein, and Withers' (1988) survey of 237 postpartum women reported the most prevalent sleep disturbances (66%) in the first 3 months postpartum occurred for primiparas; those with Cesarean sections had the most sleep disturbance symptomology. Walters and Lee (1996) and Signal et al (2007) reported decreased sleep efficiency to be more common in primiparas than multiparas.…”

Sleep Trajectories of Women Undergoing Elective Cesarean Section: Effects on Body Weight and Psychological Well-Being

“…After cesarean section (CS), women appear to be at greater risk for sleep disturbance [1,2,3], but changes in their sleep patterns and characteristics over time remain unclear. This lack of information is especially marked in late pregnancy and early postpartum, which has been recognized as a period of vulnerability to sleep issues [1].…”

Postpartum Care Center: Follow-up Care in a Hospital-based Clinic

“…As hospital stays have shortened, the gap has widened between the time of discharge and the mother's and baby's first visits with their primary health-care providers. Many physical and emotional adaptations take place during the first weeks after discharge, often without support from the health-care system (Evans, 1991;Gjerdingen, Froberg, Chaloner, 8r McGovern, 1993;Gruis, 1977;Rubin, 1975;Tribotti, Lyons, Blackburn, Stein, & Withers, 1988;Tullman & Fawcett, 1988;Williams & Cooper, 1993). When families encounter challenges in infant care, such as poor feeding, or worry about an infection of a cesarean incision, they may attempt to solve these problems o n their own, thus delaying necessary intervention until the problem worsens (Hampson, 1989).…”