دورية أكاديمية
أعرض في EDS

Longitudinal assessment of sleep and fatigue according to baby feeding method in postpartum women: a prospective observational study.

التفاصيل البيبلوغرافية
العنوان: Longitudinal assessment of sleep and fatigue according to baby feeding method in postpartum women: a prospective observational study.
المؤلفون: Mariman A; Centre for Integrative Medicine, Department of Physical Medicine and Rehabilitation, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium. an.mariman@ugent.be.; Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, Ghent, B-9000, Belgium. an.mariman@ugent.be.; Centre for Integrative Medicine, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium. an.mariman@ugent.be., Hanoulle I; Centre for Integrative Medicine, Department of Physical Medicine and Rehabilitation, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium., Pevernagie D; Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, Ghent, B-9000, Belgium.; Department of Pulmonary Medicine, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium., Maertens SJ; Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, Ghent, B-9000, Belgium., Dehaene I; Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, Ghent, B-9000, Belgium.; Department of Gynecology and Obstetrics, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium., Tobback E; Department of General Internal Medicine, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium., Delesie L; Department of General Internal Medicine, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium., Loccufier A; Department of Gynecology, Saint-John Hospital Bruges, Ruddershove 10, Bruges, B-8000, Belgium., Van Holsbeeck A; Department of Gynecology and Obstetrics, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium., Moons L; Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, Ghent, B-9000, Belgium., Vogelaers D; Centre for Integrative Medicine, Department of Physical Medicine and Rehabilitation, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, B-9000, Belgium.; Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, Ghent, B-9000, Belgium.; Department of General Internal Medicine and Infectious Diseases, AZ Delta, Deltalaan 1, Roeselare, B-8800, Belgium.
المصدر: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2024 Aug 12; Vol. 24 (1), pp. 529. Date of Electronic Publication: 2024 Aug 12.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Fatigue*/etiology , Breast Feeding* , Postpartum Period*/psychology , Bottle Feeding*, Humans ; Female ; Prospective Studies ; Adult ; Pregnancy ; Longitudinal Studies ; Surveys and Questionnaires ; Depression, Postpartum/epidemiology ; Sleep Quality ; Sleep Initiation and Maintenance Disorders/etiology
مستخلص: Background: Poor subjective sleep quality, depressive symptoms and fatigue occur frequently in postpartum. However, the dynamics of their respective associations from prepartum throughout the maternity period in function of baby feeding method have not been fully elucidated.
Methods: Prospective, longitudinal study using validated questionnaires probing for sleep quality, insomnia, fatigue and depressive symptoms at 35-37 weeks of gestation and at 2, 8 and 12 weeks postpartum in the obstetric departments of two Flemish hospitals. Somers'd ordinal correlation was used for correlations between the results of questionnaires (ratio variables) and the feeding method variable (an ordinal variable); T tests (normal data) or Mann Whitney (non normal data) tests for equality of means; ordinal regression ('Proportional odds model') to investigate the predictive value of parameters at one moment on the feeding method choice at a later moment; logistic regression to investigate the predictive value of parameters on later change of feeding method.
Results: 188 women indicating a choice for either bottle or breastfeeding in prepartum (27-35 weeks' gestation) were included. Higher fatigue assessed through the Fatigue Severity Scale within late pregnancy was moderately associated with primary bottle feeding choice. Fatigue decreased at early and late postpartum in bottle feeding (-0.38 ± 1.04; p = .110 and - 0.31 ± 1.01; p = .642 respectively), but remained unchanged from late pregnancy through early and late postpartum in breastfeeding (0.04 ± 1.21; p = .110 and - 0.27 ± 0.96; p = .642 respectively), resulting in similar fatigue in both feeding methods in early through late postpartum. There were no differences in sleep quality or insomnia symptoms at all time points. Presence of postpartum depressive symptoms were associated with early switching to bottle feeding (Somers' d correlation 0.11 (p = .021).
Conclusions: Fatigue and depressive symptoms are inversely associated with breastfeeding initiation or maintenance and influence feeding method dynamics.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Choice behavior; Depression; Fatigue; Feeding methods; Sleep quality
تواريخ الأحداث: Date Created: 20240812 Date Completed: 20240813 Latest Revision: 20240815
رمز التحديث: 20240815
مُعرف محوري في PubMed: PMC11321152
DOI: 10.1186/s12884-024-06671-0
PMID: 39134933
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2393
DOI:10.1186/s12884-024-06671-0