The Relationship Between Sleep Characteristics and Fatigue In Healthy Postpartum Women

Rychnovsky, Jacqueline; Hunter, Lauren P.

doi:10.1016/j.whi.2008.07.015

Cited by 86 publications

(61 citation statements)

References 24 publications

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“…Because infants’ polyphasic sleep is not likely to change, and adults who follow a polyphasic sleep schedule may experience negative consequences, the development of methods for improving maternal sleep to the point that mothers are able to function effectively should be a clinical and research focus. We echo Rychnovsky and Hunter14 in their sentiment that, “It is unclear whether the age-old advice to “nap when your baby naps” is effective in reducing postpartum fatigue” . Not only do our low rates and durations of daytime napping show that are women not taking that advice, but a brief nap during the day is unlikely to alleviate nocturnal fragmentation.…”

Section: Commentmentioning

confidence: 82%

“…Subjective sleep disturbance is positively associated and sleep effectiveness is negatively associated with maternal fatigue through 6 weeks postpartum 14. New mothers report being surprised by their level of sleep disturbance and daytime exhaustion; mothers describe their sleep as a negotiated behavior in which they strategically adjust their sleep schedules to match their newborns’ polyphasic sleep pattern 15.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Normative longitudinal maternal sleep: the first 4 postpartum months

Montgomery‐Downs

Insana

Clegg-Kraynok

et al. 2010

American Journal of Obstetrics and Gynecology

136

115

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Objective-To describe the normative course of maternal sleep during the first four months postpartum.Study Design-Sleep was objectively measured using continuous wrist actigraphy. This was a longitudinal, field-based assessment of nocturnal sleep during postpartum weeks two through 16. Fifty mothers participated during postpartum weeks two through 13; 24 participated during postpartum weeks nine through 16. Conclusion-Though postpartum mothers' total sleep time was higher than expected during the initial postpartum months, this sleep was highly fragmented (similar to fragmenting sleep disorders) and inefficient. This profile of disturbed sleep should be considered in intervention designs and family leave policies. Results-Maternal

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Section: Commentmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Normative longitudinal maternal sleep: the first 4 postpartum months

Montgomery‐Downs

Insana

Clegg-Kraynok

et al. 2010

American Journal of Obstetrics and Gynecology

136

115

View full text Add to dashboard Cite

show abstract

“…Mothers may be assessed to determine their level of fatigue and sleep deprivation. 61 In situations such as those described, increased staff vigilance with continuous monitoring, as described previously, is important to assist with SSC throughout the immediate postpartum period. 62 Additional suggestions to improve safety include enhancements to the environment, such as stabilizing the ambient temperature, 63 …”

Section: Box 1: Procedures For Immediate Skin-to-skin Carementioning

confidence: 90%

“…Mothers will be naturally exhausted and potentially sleep-deprived or may sleep in short bursts. 61 They may also be unable to adjust their position or ambulate safely while carrying a newborn. The postpartum period provides unique challenges regarding falls/drops and is understudied compared with …”

Section: Safety Concerns Regarding Rooming-inmentioning

confidence: 99%

Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns

Feldman-Winter¹,

Goldsmith²

2016

Pediatrics

163

110

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Skin-to-skin care (SSC) and rooming-in have become common practice in the newborn period for healthy newborns with the implementation of maternity care practices that support breastfeeding as delineated in the World Health Organization's "Ten Steps to Successful Breastfeeding." SSC and rooming-in are supported by evidence that indicates that the implementation of these practices increases overall and exclusive breastfeeding, safer and healthier transitions, and improved maternal-infant bonding. In some cases, however, the practice of SSC and rooming-in may pose safety concerns, particularly with regard to sleep. There have been several recent case reports and case series of severe and sudden unexpected postnatal collapse in the neonatal period among otherwise healthy newborns and near fatal or fatal events related to sleep, suffocation, and falls from adult hospital beds. Although these are largely case reports, there are potential dangers of unobserved SSC immediately after birth and throughout the postpartum hospital period as well as with unobserved rooming-in for at-risk situations. Moreover, behaviors that are modeled in the hospital after birth, such as sleep position, are likely to infl uence sleeping practices after discharge. Hospitals and birthing centers have found it diffi cult to develop policies that will allow SSC and rooming-in to continue in a safe manner. This clinical report is intended for birthing centers and delivery hospitals caring for healthy newborns to assist in the establishment of appropriate SSC and safe sleep policies.

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“…There is some evidence to suggest that short daytime napping may not be restorative to mothers [61]. Delegating and sharing maternal and household duties is important and may require assistance from outside the family.…”

Section: Management Recommendationsmentioning

confidence: 99%

Antipsychotic-Induced Somnolence in Mothers with Schizophrenia

Seeman

2011

Psychiatr Q

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Although it is known that many antipsychotic drugs, at the doses prescribed for schizophrenia, are sedative and cause daytime drowsiness, the effect of potentially diminished vigilance on parenting parameters has not been studied. The aim of this paper is to advise clinicians about sedative load in mothers who are prescribed antipsychotic medication. A Medline search was conducted into the sedative effects of antipsychotics, with the following search terms: sleep; sedation; somnolence; wakefulness; antipsychotics; schizophrenia, parenting, maternal behavior, and custody. The results showed that antipsychotic drugs differ in their propensity to induce sedation and do so via their effects on a variety of neurotransmitter systems. It is important to note that mothers with schizophrenia risk losing custody of their infants if they are perceived as potentially neglectful because of excessive daytime sleepiness. Clinicians must choose antipsychotic medications carefully and monitor for sedative effects whenever the patient has important responsibilities that require the maintenance of vigilance.

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The Relationship Between Sleep Characteristics and Fatigue In Healthy Postpartum Women

Cited by 86 publications

References 24 publications

Normative longitudinal maternal sleep: the first 4 postpartum months

Normative longitudinal maternal sleep: the first 4 postpartum months

Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns

Antipsychotic-Induced Somnolence in Mothers with Schizophrenia

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