Doan Therese, Gardiner Annelise, Gay Caryl L, Lee Kathryn A
Department of Family Health Care Nursing, School of Nursing, University of California at San Francisco, CA 94143, USA.
J Perinat Neonatal Nurs. 2007 Jul-Sep;21(3):200-6. doi: 10.1097/01.JPN.0000285809.36398.1b.
This study describes sleep patterns for mothers and fathers after the birth of their first child and compares exclusive breast-feeding families with parents who used supplementation during the evening or night at 3 months postpartum.
As part of a randomized clinical trial, the study utilized infant feeding and sleep data at 3 months postpartum from 133 new mothers and fathers. Infant feeding type (breast milk or formula) was determined from parent diaries. Sleep was measured objectively using wrist actigraphy and subjectively using diaries. Lee's General Sleep Disturbance Scale was used to estimate perceived sleep disturbance.
Parents of infants who were breastfed in the evening and/or at night slept an average of 40-45 minutes more than parents of infants given formula. Parents of infants given formula at night also self-reported more sleep disturbance than parents of infants who were exclusively breast-fed at night.
Parents who supplement their infant feeding with formula under the impression that they will get more sleep should be encouraged to continue breast-feeding because sleep loss of more than 30 minutes each night can begin to affect daytime functioning, particularly in those parents who return to work.
本研究描述了初为人父母者在其第一个孩子出生后的睡眠模式,并比较了纯母乳喂养家庭与产后3个月在傍晚或夜间进行补充喂养的父母的情况。
作为一项随机临床试验的一部分,该研究利用了133对新父母产后3个月时的婴儿喂养和睡眠数据。婴儿喂养类型(母乳或配方奶)由父母的日记确定。睡眠通过手腕活动记录仪进行客观测量,并通过日记进行主观测量。使用李氏一般睡眠障碍量表来评估感知到的睡眠障碍。
在傍晚和/或夜间进行母乳喂养的婴儿的父母比使用配方奶喂养的婴儿的父母平均多睡40 - 45分钟。夜间使用配方奶喂养婴儿的父母自我报告的睡眠障碍也比夜间纯母乳喂养婴儿的父母更多。
那些认为补充配方奶喂养能获得更多睡眠而进行补充喂养的父母,应被鼓励继续母乳喂养,因为每晚超过30分钟的睡眠不足会开始影响日间功能,尤其是对于那些重返工作岗位的父母。