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产后睡眠:初产妇及健康母亲的特征

Sleep in the Postpartum: Characteristics of First-Time, Healthy Mothers.

作者信息

Creti Laura, Libman Eva, Rizzo Dorrie, Fichten Catherine S, Bailes Sally, Tran Dieu-Ly, Zelkowitz Phyllis

机构信息

Jewish General Hospital, Montreal, QC, Canada.

McGill University, Montreal, QC, Canada.

出版信息

Sleep Disord. 2017;2017:8520358. doi: 10.1155/2017/8520358. Epub 2017 Oct 17.

Abstract

Goals for the present study were to (a) describe the sleep of healthy new mothers over a 6-month postpartum period, (b) examine how sleep quality relates to daytime levels of fatigue and sleepiness, and (c) evaluate the relationship between mothers' and infants' sleep parameters. The sample consisted of 37 healthy, partnered, first-time mothers who had experienced full-term vaginal birth and had a healthy infant. We investigated infants' sleep parameters and mothers' sleep, mood, and daytime functioning 2 and 6 months postpartum. We found that at 2 months postpartum, mothers reported sleeping 6 hours at night and just under one hour during the day. Despite relatively frequent nocturnal awakenings, mothers experienced minimal insomnia, nonrefreshing sleep, anxiety, depression, daytime sleepiness, or fatigue at either 2 or 6 months. The most robust relationship between mothers' and infants' sleep was in the number of nocturnal sleep-wake episodes. Of note is that none of the infant sleep parameters was related to mothers' anxiety, depression, fatigue, sleepiness, or nonrefreshing sleep at either time period. Our results indicate that (1) selected low risk new mothers are resilient in terms of sleep quality, daytime functioning, and mood and (2) these are independent of their infants' sleep parameters.

摘要

本研究的目标是

(a) 描述健康初产妇产后6个月的睡眠情况;(b) 研究睡眠质量与白天疲劳和困倦程度之间的关系;(c) 评估母亲和婴儿睡眠参数之间的关系。样本包括37名健康、有伴侣的初产妇,她们经历了足月阴道分娩且婴儿健康。我们在产后2个月和6个月调查了婴儿的睡眠参数以及母亲的睡眠、情绪和白天的功能状况。我们发现,产后2个月时,母亲报告夜间睡眠6小时,白天睡眠不到1小时。尽管夜间觉醒相对频繁,但母亲在2个月或6个月时均很少出现失眠、睡眠无恢复感、焦虑、抑郁、白天嗜睡或疲劳的情况。母亲和婴儿睡眠之间最显著的关系在于夜间睡眠-觉醒次数。值得注意的是,在两个时间段内,婴儿的任何睡眠参数均与母亲的焦虑、抑郁、疲劳、嗜睡或睡眠无恢复感无关。我们的结果表明:(1) 部分低风险初产妇在睡眠质量、白天功能状况和情绪方面具有恢复力;(2) 这些与她们婴儿的睡眠参数无关。

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