Postpartum Fatigue and Inhibited Lactation

Wantonoro²,

et al. 2022

JHeS

Background: Postpartum fatigue is a severe concern for mothers worldwide, and fatigue has a high prevalence rate. Fatigue symptoms impact postpartum maternal role attainment and are also considered to affect her quality of life adversely. Objective: This study aimed to identify interventions strategy reducing postpartum fatigue. Methods: Literature reviews were conducted with PubMed, Scopus, Cochrane Library, Web of Science, and Google Scholar database. Inclusion criteria (1) randomized controlled trials or quasi-experimental studies (2) strategies on mothers with postpartum fatigue study (3) English. Full text. Two reviewers will independently perform selection articles, quality assessment, and data extraction. The methodology's quality and evidence level will be graded using the modified Jadad Scale. Results: Eight studies were included (819 postpartum women and, executed nine kinds of interventions). Aerobic gymnastic exercise used DVD significantly decreased levels of postpartum fatigue and also significantly improved stress and postpartum sleep quality. The professionally-led telephone support significantly decreased fatigue and depression, anxiety, stress, and significantly higher self-care behavior. In addition, most instruments used to measure postpartum fatigue are Postpartum Fatigue Scale (PFS) and Fatigue Severity Scale (FSC). Conclusions: Aerobic gymnastic exercise used DVD and professionally-led telephone support are recommended as strategic interventions for reducing postpartum fatigue.

Section: Introductionmentioning

confidence: 99%

Interventions strategy reducing postpartum fatigue: a literature review

Wantonoro²,

et al. 2022

JHeS

Japan Journal Nursing Sci

Relationship between maternal postpartum depression, fatigue, sleep quality and infant growth: A cross‐sectional study

Wang,

Bai,

Zhang

et al. 2024

BackgroundCurrent research separately analyzed the connection between postpartum depression, fatigue, sleep and infant development. However, depression, fatigue and sleep quality often coexisted as adverse symptoms in postpartum women and influenced infant development together. This study explored the maternal postpartum symptoms on infant growth.MethodsOur study included 224 pairs of singleton full‐term mothers and their infants who underwent routine pediatric outpatient clinics. Latent profile analysis was applied to identify the latent classes based on mothers' postpartum depression, fatigue and sleep profile characteristics. We evaluated the maternal adverse symptoms and infant development using multivariable logistic regressions.ResultsTotally, 224 pairs of eligible mothers (28.85 ± 4.43 years) and infants (30.93 ± 3.26 days) participated in this study. Latent profile analysis identified 3 latent groups: mild (58.04%), moderate (34.37%), and severe (7.59%) postpartum adverse symptoms. Postpartum adverse symptoms were associated with delayed development in the baby's motor level (χ2 = 6.572, p = .037) and weight‐for‐length (χ2 = 9.652, p = .008). After controlling for mother and infant related factors, postpartum adverse symptoms remained a risk factor for infant motor level (odds ratio [OR]: 4.35; 95% confidence interval [CI]: 1.25–15.08) and weight‐for‐length (OR: 5.53; 95% CI: 1.55–19.74).ConclusionsMaternal postpartum depression, fatigue and sleep quality are associated with infant development. Clinically, mothers with these symptoms should be intervened timely to avoid the aggravation of maternal symptoms, which affect baby's development.

British Journal of Midwifery

Why women discontinue exclusive breastfeeding: a scoping review

Olalere,

Harley

2024

Background/Aims The World Health Organization recommends exclusive breastfeeding, but global rates remain low. The aim of this review was to provide insight into the reasons behind mothers’ decisions to cease exclusive breastfeeding in the first 6 months. Methods Studies published from 2013 on exclusive breastfeeding cessation were eligible for inclusion in the review. A total of 1910 studies were retrieved in the initial search, with 17 included in the final review. Results There were five main themes encompassing 19 factors that contributed to the decision to cease exclusive breastfeeding. These were challenges related to lactation, the infant, the mother's health, social issues and lifestyle. Lactation issues were the most common reason for stopping exclusive breastfeeding, while returning to work was the main lifestyle-related factor. Conclusions A clear understanding of why mothers stop exclusive breastfeeding should form the foundation of breastfeeding intervention strategies, as clinical support alone is insufficient for helping mothers achieve their breastfeeding goals. Implications for practice Healthcare providers should develop targeted interventions tailored to address reasons for early cessation of exclusive breastfeeding. There is a need for improved lactation support services, including education on proper latch techniques, management of nipple pain and injuries, and strategies to address perceived insufficient milk supply. There is also a need for improved education on breastfeeding techniques, expressing milk and storage options. Healthcare providers should involve family members in breastfeeding education to create a supportive environment for breastfeeding mothers.