School of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, Australia.
School of Medicine, The University of Western Australia, Crawley, WA 6009, Australia.
Int J Environ Res Public Health. 2022 Oct 12;19(20):13098. doi: 10.3390/ijerph192013098.
This study evaluated relationships between maternal perceptions of infant sleep, settling and crying patterns and breastfeeding. A prospective observational study of 91 mothers of healthy, term infants was conducted with follow ups over 9 months after discharge from a Western Australian maternity hospital. Feeding information, sleep, settle and cry behaviours, maternal bother at infant behaviours and confidence were measured using the Sleep and Settle Questionnaire. Breastfeeding confidence was measured using the Breastfeeding Self-Efficacy Scale-Short Form. Questionnaires were administered at 2 and 6 weeks, 3, 6 and 9 months. Linear mixed models were used to assess associations between maternal bother, feeding method and infant characteristics. The feeding method was not associated with maternal bother, and cessation of breastfeeding did not result in a change in bother scores ( = 0.34). Duration of infant crying in the day, evening and night, frequency of night waking and duration of settling to sleep in the day were associated with increased bother scores. Higher breastfeeding self-efficacy and maternal confidence were associated with lower bother scores (both < 0.01). Maternal bother is associated with infant behaviours that require parental input, but not breastfeeding status. Resources that address parental expectations regarding infant sleep while providing strategies to support maternal wellbeing and breastfeeding are needed.
本研究评估了母亲对婴儿睡眠、入睡和哭泣模式以及母乳喂养的看法之间的关系。对 91 名健康足月婴儿的母亲进行了前瞻性观察研究，在西澳大利亚妇产医院出院后进行了 9 个月的随访。使用睡眠和入睡问卷评估喂养信息、睡眠、入睡和哭泣行为、母亲对婴儿行为的困扰和信心。使用母乳喂养自我效能感量表-短式评估母乳喂养信心。在 2 周和 6 周、3 个月、6 个月和 9 个月时进行问卷调查。线性混合模型用于评估母亲困扰、喂养方式和婴儿特征之间的关联。喂养方式与母亲困扰无关，停止母乳喂养不会导致困扰评分发生变化( = 0.34)。婴儿白天、晚上和夜间哭泣的持续时间、夜间醒来的频率以及白天入睡的时间与困扰评分的增加有关。较高的母乳喂养自我效能感和母亲信心与较低的困扰评分相关（均<0.01）。母亲的困扰与需要父母投入的婴儿行为有关，但与母乳喂养状况无关。需要提供资源来满足父母对婴儿睡眠的期望，同时提供支持母亲幸福感和母乳喂养的策略。
