Gay Caryl L, Lee Kathryn A, Lee Shih-Yu
Department of Family Health Care Nursing, University of California, San Francisco, CA, USA.
Biol Res Nurs. 2004 Apr;5(4):311-8. doi: 10.1177/1099800403262142.
The purpose of this study was to describe the sleep patterns and fatigue of both mothers and fathers before and after childbirth. The authors used wrist actigraphy and questionnaires to estimate sleep and fatigue in 72 couples during their last month of pregnancy and 1st month postpartum. Both parents experienced more sleep disruption at night during the postpartum period as compared to the last month of pregnancy. Compared to fathers, with their stable 24-h sleep patterns over time, mothers had less sleep at night and more sleep during the day after the baby was born. Sleep patterns were also related to parents' work status and type of infant feeding. Both parents self-reported more sleep disturbance and fatigue during the 1st month postpartum than during pregnancy. Mothers reported more sleep disturbance than fathers, but there was no gender difference in ratings of fatigue. At both time points, fathers obtained less total sleep than mothers when sleep was objectively measured throughout the entire 24-h day. Further research is needed to determine the duration of sleep loss for both mothers and fathers, to evaluate the effect of disrupted sleep and sleep loss on psychosocial functioning and job performance, and to develop interventions for improving sleep patterns of new parents.
本研究的目的是描述父母在分娩前后的睡眠模式和疲劳状况。作者使用手腕活动记录仪和问卷，对72对夫妇在妊娠最后一个月和产后第一个月的睡眠和疲劳情况进行评估。与妊娠最后一个月相比，父母双方在产后夜间的睡眠中断情况更多。与父亲随着时间保持稳定的24小时睡眠模式相比，母亲在宝宝出生后夜间睡眠较少，白天睡眠较多。睡眠模式也与父母的工作状态和婴儿喂养方式有关。父母双方自我报告称，产后第一个月比孕期有更多的睡眠干扰和疲劳。母亲报告的睡眠干扰比父亲多，但在疲劳评分上没有性别差异。在两个时间点，当对整个24小时的睡眠进行客观测量时，父亲的总睡眠时间比母亲少。需要进一步研究以确定父母双方睡眠缺失的持续时间，评估睡眠中断和睡眠缺失对心理社会功能和工作表现的影响，并制定改善初为人父母者睡眠模式的干预措施。
