Trajectories of maternal sleep problems before and after childbirth: a longitudinal population-based study

Sivertsen, Børge; Hysing, Mari; Dørheim, Signe Karen; Eberhard‐Gran, Malin

doi:10.1186/s12884-015-0577-1

Cited by 137 publications

(108 citation statements)

References 35 publications

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“…The physiological and hormonal changes that postpartum women experience place them at risk of decreased maternal performance 4 . Insomnia and short sleep duration were found to be very common both before and after pregnancy 5 . The postpartum women were classified as poor sleepers during the early postpartum period.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Foot Reflexology and Back Massage in Improving the Quality of Sleep Among Post Caesarean Mothers

Manjuri¹,

Latheef²

2016

Int. J. Res. Ayurveda Pharm.

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Childbirth is one of the challenging occasions in a woman's life. The aim of the study was to evaluate the effectiveness of the foot reflexology and back massage in improving the quality of sleep among the post caesarean mothers. A true experimental-repeated measures design with simple random sampling technique was used to study the control and experimental groups. The quality of sleep was assessed on 120 post caesarean mothers with 40 samples in each group of control, back massage and foot reflexology. Modified Pittsburg Sleep Quality Index Scale was used to assess the quality of sleep. After the pretest, back massage and foot reflexology was given for three consecutive days in the evening for the respective group. The results revealed that the day 2, day 3, and day 4 of back massage and foot reflexology quality of sleep were significantly different from the control day 2, day 3 and day 4 except on day 1. There is an improvement in the quality of sleep from day 1 to day 4. When comparing the pretest and the posttests, the quality of sleep of the control, back massage and foot reflexology day 3, day 4 (posttests) were highly significantly different from control, back massage and foot reflexology day 1 except on day 2. The improvement in the foot reflexology and back massage was better than the control group. The chi square of control and back massage were 13.132, 41.645 whereas chi square of foot reflexology was 101.234. Hence the foot reflexology was better in improving quality of sleep than back massage.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Foot Reflexology and Back Massage in Improving the Quality of Sleep Among Post Caesarean Mothers

Manjuri¹,

Latheef²

2016

Int. J. Res. Ayurveda Pharm.

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“…3,4 Poor sleep and short sleep duration in mid-or late pregnancy have been associated with longer labor duration, and increased risks of preterm birth, vacuum-assisted delivery, and unplanned cesarean delivery. [5][6][7] It has been hypothesized that chronic sleep loss during pregnancy can be both cause and effect of hyperarousal (i.e., increased physiological and psychological stress and reactivity), leading to stress responses that adversely affect pregnancy outcomes.…”

Section: Introductionmentioning

confidence: 99%

Sleep Enhancement Training for Pregnant Women

Lee¹,

Gay²,

Alsten³

2017

Obstetric Anesthesia Digest

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Objective-To evaluate the feasibility and efficacy of a home-based cognitive-behavioral training program for sleep during late pregnancy.Methods-A nonrandomized quasi-experimental sample of nulliparous women who received the intervention during pregnancy (n=25) was compared to two control groups (n=76 and n=48) from other intervention studies at similar postintervention time points: approximately 1 month before childbirth and 1-2 months after childbirth. The home-based Sleep Enhancement Training System for Pregnancy consisted of 4 weeks of sound-enhanced audio relaxation programs, readings, and daily sleep diaries. Both control groups received dietary recommendations for improving sleep. Sleep duration (total sleep time) and sleep disruption (wake after sleep onset) were measured using wrist actigraphy for a minimum of 48 hours on consecutive weekdays.Results-The intervention group had significantly longer sleep duration and less sleep disruption than both control groups, particularly at the postpartum assessment. Intervention participants slept an average of 430 (95% confidence interval [CI] 397-464) minutes during pregnancy, compared to 420 (95% CI 403-438) and 417 (95% CI 395-439) minutes for the two control groups. At the postpartum assessment, the intervention group slept 446 (95% CI 415-478) minutes compared to 390 (95% CI 373-408) and 370 (95% CI 348-393) minutes for controls. In terms of sleep disruption, the intervention group had 16.1% (95% CI 11.9-20.2%) wake after sleep onset during pregnancy, while controls had 13.4% (95% CI 11.2-15.5%) and 20.4% (95% CI 17.7-23.0%). Postpartum, the intervention group had 20.3% (95% CI 16.4-24.1%) wake after sleep onset compared to 26.6% (95% CI 24.5-28.8%) and 28.7% (95% CI 26.0-31.5%) among control. Participant feedback about the intervention was generally positive, although intervention adherence was variable.Conclusions-This study provides evidence of the feasibility and efficacy of the Sleep Enhancement Training System for Pregnancy intervention for enhancing sleep that typically worsens during late pregnancy and after childbirth. PrécisA cognitive-behavioral intervention that includes relaxation training demonstrates feasibility and efficacy for minimizing sleep disruption among women in late pregnancy and after childbirth.

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“…3, 4 Poor sleep and short sleep duration in mid- or late pregnancy have been associated with longer labor duration, and increased risks of preterm birth, vacuum-assisted delivery, and unplanned cesarean delivery. 5–7 It has been hypothesized that chronic sleep loss during pregnancy can be both cause and effect of hyperarousal (i.e., increased physiological and psychological stress and reactivity), leading to stress responses that adversely affect pregnancy outcomes.…”

Section: Introductionmentioning

confidence: 99%

Sleep Enhancement Training for Pregnant Women

Lee

Gay

Alsten

2016

Obstetrics &Amp; Gynecology

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Objective To evaluate the feasibility and efficacy of a home-based cognitive-behavioral training program for sleep during late pregnancy. Methods A nonrandomized quasi-experimental sample of nulliparous women who received the intervention during pregnancy (n=25) was compared to two control groups (n=76 and n=48) from other intervention studies at similar postintervention time points: approximately 1 month before childbirth and 1–2 months after childbirth. The home-based Sleep Enhancement Training System for Pregnancy consisted of 4 weeks of sound-enhanced audio relaxation programs, readings, and daily sleep diaries. Both control groups received dietary recommendations for improving sleep. Sleep duration (total sleep time) and sleep disruption (wake after sleep onset) were measured using wrist actigraphy for a minimum of 48 hours on consecutive weekdays. Results The intervention group had significantly longer sleep duration and less sleep disruption than both control groups, particularly at the postpartum assessment. Intervention participants slept an average of 430 (95% confidence interval [CI] 397–464) minutes during pregnancy, compared to 420 (95% CI 403–438) and 417 (95% CI 395–439) minutes for the two control groups. At the postpartum assessment, the intervention group slept 446 (95% CI 415–478) minutes compared to 390 (95% CI 373–408) and 370 (95% CI 348–393) minutes for controls. In terms of sleep disruption, the intervention group had 16.1% (95% CI 11.9–20.2%) wake after sleep onset during pregnancy, while controls had 13.4% (95% CI 11.2–15.5%) and 20.4% (95% CI 17.7–23.0%). Postpartum, the intervention group had 20.3% (95% CI 16.4–24.1%) wake after sleep onset compared to 26.6% (95% CI 24.5–28.8%) and 28.7% (95% CI 26.0–31.5%) among control. Participant feedback about the intervention was generally positive, although intervention adherence was variable. Conclusions This study provides evidence of the feasibility and efficacy of the Sleep Enhancement Training System for Pregnancy intervention for enhancing sleep that typically worsens during late pregnancy and after childbirth.

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Trajectories of maternal sleep problems before and after childbirth: a longitudinal population-based study

Cited by 137 publications

References 35 publications

Effectiveness of Foot Reflexology and Back Massage in Improving the Quality of Sleep Among Post Caesarean Mothers

Effectiveness of Foot Reflexology and Back Massage in Improving the Quality of Sleep Among Post Caesarean Mothers

Sleep Enhancement Training for Pregnant Women

Sleep Enhancement Training for Pregnant Women

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