Parity and Sleep Patterns During and After Pregnancy

Lee, Kathryn A.; Zaffke, Mary Ellen; McEnany, Geoffry

doi:10.1097/00006250-200001000-00003

Cited by 103 publications

(110 citation statements)

References 17 publications

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“…As night awakenings increase, deep sleep is interrupted and as a result of insufficient sleep, energy levels reduce and fatigue increases even more. 20 It was found by Beebe and Lee that the fatigue levels were higher among women who had insufficient sleep during their pregnancies. 21 Regarding the diagnosis of loneliness; pregnant women were thought to be feeling lonely due to being in an unfamiliar atmosphere and leaving family behind after hospitalization and the feeling of being imprisoned at home due to stable bed rest, not having a spouse nearby and inability to see family and friends as often as desired.…”

Section: Discussionmentioning

confidence: 99%

The Effect of the Care Provided Based on Self-Care Model of Orem on Self-Care Agency and Frequency of Nursing Diagnoses in Pregnant Women with Threat of Preterm Birth

Kılıç¹,

Erci²

2017

Turkiye Klinikleri J Nurs Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This study was conducted to evaluate the effect of the care, provided based on the self-care model of Orem, on self-care agency and frequency of nursing diagnoses in pregnant women with threat of preterm birth. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The study was conducted as pretest-posttest quasi-experimental model with control group between March 2010 and 2011. Approval of ethics committee and official permission from related institution were received and written consents and voluntary participation of the pregnant women were taken into consideration. The study was conducted with a total of 80 pregnant women randomly selected as 40 pregnant women in the experimental group and 40 pregnant women in the control group. The data were collected by using "Personal Information Form", "High-Risk Pregnancy Follow-up Form", and "Self-Care Agency Scale" (SCAS). The pretest and interim test data were collected in the hospital. The care for nursing diagnoses was provided by paying five clinical visits to the pregnant women. The posttest data were collected through home visit one month after they were discharged. Percentage, mean, Cronbach Alpha coefficient analysis, McNemar test, and analysis of variance were used to assess the data. R Re es su ul lt ts s: : It was found that nursing diagnoses after the care provided for the need were significantly lower in pregnant women of the experimental group compared to those in the control group (p<0.05). Furthermore, the pregnant women in the experimental group had a significantly higher self-care agency than the pregnant women in the control group (p<0.05). C Co on nc cl lu us si io on n: : The care provided based on the self-care model of Orem decreased the nursing diagnoses and increased self-care agency in pregnant women with threat of preterm birth. K Ke ey yw wo or rd ds s: : Self care; obstetric labor, premature Ö ÖZ ZE ET T A Am ma aç ç: : Erken doğum tehdidi olan gebelerde Orem'in Özbakım Modeline göre verilen bakımın özbakım gücüne ve hemşirelik tanılarının sıklığına etkisini değerlendirmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Araştırma, Mart 2010 Mart 2011 tarihleri arasında kontrol gruplu ön-test-son test yarı deneme modeli olarak gerçekleştirilmiştir. Etik kurul onayı ve ilgili kurumdan resmi izin alınmış, gebelerin yazılı onamları ile gönüllü katılımları dikkate alınmıştır. Rastlantısal olarak seçilen 40 deney, 40 kontrol grubunda olmak üzere toplam 80 gebe ile çalışılmıştır. Verilerin toplanmasında, "Kişisel Bilgi Formu" "Riskli Gebe İzlem Fomu" ve "Özbakım Gücü Ölçeği" kullanılmıştır. Ön test, ara test verileri hastanede toplanmıştır. Hemşirelik tanılarına yönelik bakım gebelere yapılan beş klinik ziyaret ile gerçekleştirilmiştir. Son test verileri, taburculuktan bir ay sonra ev ziyareti yapılarak toplanmıştır. Veriler, yüzdelik, ortalama, Cronbach Alpha katsayı analizi, McNemar testi ve varyans analizi ile değerlendirilmiştir. B Bu ul lg gu ul la ar r: : Kontrol grubu...

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Section: Discussionmentioning

confidence: 99%

The Effect of the Care Provided Based on Self-Care Model of Orem on Self-Care Agency and Frequency of Nursing Diagnoses in Pregnant Women with Threat of Preterm Birth

Kılıç¹,

Erci²

2017

Turkiye Klinikleri J Nurs Sci

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“…However, some work suggests a causal effect of sleep leading to affect changes. Lee and colleagues used polysomnography pre and postpartum and found that at 1 month after delivery a negative affect group had an average of 1.7 fewer hours of sleep per day than during their third trimester, and 1.3 hours less than the positive affect group whose sleep remained unchanged from their third trimester [49].…”

Section: Consequences Of Maternal Postpartum Sleep Disturbance For Mamentioning

confidence: 99%

Postpartum Sleep in New Mothers and Fathers

Montgomery‐Downs¹,

Stremler²,

Insana³

2013

TOSLPJ

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Abstract:In this review, we describe postpartum sleep as characterized by marked fragmentation, resulting in nearuniversal fatigue during the initial postpartum period. This sleep disturbance and fatigue are major contributing factors to the onset of affect and mood disturbance, which in turn is strongly associated with an increase in negative infant-parent interactions and adverse infant emotional and cognitive outcomes. Although less-frequently studied, postpartum fathers also experience sleep disturbance and sleepiness associated impairments that impact their families. Despite this, postpartum sleep should be considered a normative developmental period, and the need for intervention can be seen as a byproduct of social and economic expectations that new parents return to the workforce soon after childbirth. Heretofore, there is little evidence to support the efficacy of interventions to improve parent sleep, though some suggest that socially disadvantaged families may benefit most from advice regarding infant and maternal sleep. Also reviewed here is the evidence for a high proportion of children reported to co-sleep with their parents -despite the professional recommendations in the United States -and the need for family education regarding safe co-sleeping. Finally, one obstacle to a woman's decision to breastfeed may be concern about how this will affect her sleep; the evidence for a lack of impact of infant breast feeding on maternal sleep is evident.

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Section: Introductionmentioning

confidence: 99%

“…However, they also have difficulty maintaining sustained sleep, and sleep efficiency is lowered (Hertz, 1992;Suzuki et al, 1994;Lee et al, 2000). These changes in sleep architecture have been observed at the initial stages of pregnancy (Hedman et al, 2002;Lee et al, 2000). Moreover, sleep has been shown to be essential for normal pregnancy-associated physiological changes and fetal development because of the increased risk of pregnancy-induced-hypertension (PIH) and a small-for-gestational-age birth in expectant mothers who snore or have sleep-disordered-breathing (SDB) (Loube, 1996;Franklin et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Sleep quality and sleepiness characteristics in first trimester expectant mothers

Shinkawa¹,

Shimada²,

Fujita³

2008

J. Jpn. Acad. Midwif.

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PurposeBecause sleep is essential for normal pregnancy-associated physiological changes and healthy fetal development it is important to provide advice to first trimester expectant mothers in order to enhance self-care. Therefore, the aims of the present study are to clarify first trimester sleep quality and sleepiness characteristics, and to elucidate the affects of stress on sleep and sleepiness characteristics. MethodsSelf-administered questionnaires were distributed to 46 first trimester expectant mothers who were recruited from outpatient departments of two hospitals in Hiroshima, Japan between April 2007 and January 2008. The questionnaire was composed of the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), a sleep log, and the Perceived Stress Scale (PSS). ResultsThe average global score of the PSQI (PSQIG) was 6.67 (±3.20), and 65.2% of participants exceeded the cutoff score. Participants with higher perceived stress had significantly higher PSQIG scores (r=0.38, n=46, p<0.01). There was a positive correlation with PSQIG (r=0.40, n=46, p<0.01) and regularity of bedtime, indicating that participants with well-regulated daily habits have lower PSQIG scores. The average ESS score was 10.1 (±4.3), with 50.0% of participants scoring 11 points or higher. Moreover, primipara had higher scores than multipara (un-paired t (44)=2.52, p <0.05), and those participants with more children had lower scores (r=-0.32, n=46, p<0.05). Sleepiness duration and nap duration were not significantly different for parity. For employment (employed or not-employed), nap duration was significantly different (un-paired t (27)=2.27, p<0.05), however, there was no significant difference in sleepiness duration. ConclusionThis study has shown that first trimester expectant mothers have markedly poor sleep quality and higher levels of sleepiness when compared to women of the same age in the general population. In addition, this study suggests that sleep quality is improved by controlling stress and by having well regulated sleep habits.

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Parity and Sleep Patterns During and After Pregnancy

Cited by 103 publications

References 17 publications

The Effect of the Care Provided Based on Self-Care Model of Orem on Self-Care Agency and Frequency of Nursing Diagnoses in Pregnant Women with Threat of Preterm Birth

The Effect of the Care Provided Based on Self-Care Model of Orem on Self-Care Agency and Frequency of Nursing Diagnoses in Pregnant Women with Threat of Preterm Birth

Postpartum Sleep in New Mothers and Fathers

Sleep quality and sleepiness characteristics in first trimester expectant mothers

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