School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu Province, China.
Department of Nursing, Jingjiang People's Hospital, Jingjiang, Jiangsu Province, China.
Jpn J Nurs Sci. 2024 Oct;21(4):e12614. doi: 10.1111/jjns.12614. Epub 2024 Aug 18.
Current research separately analyzed the connection between postpartum depression, fatigue, sleep and infant development. However, depression, fatigue and sleep quality often coexisted as adverse symptoms in postpartum women and influenced infant development together. This study explored the maternal postpartum symptoms on infant growth.
Our study included 224 pairs of singleton full-term mothers and their infants who underwent routine pediatric outpatient clinics. Latent profile analysis was applied to identify the latent classes based on mothers' postpartum depression, fatigue and sleep profile characteristics. We evaluated the maternal adverse symptoms and infant development using multivariable logistic regressions.
Totally, 224 pairs of eligible mothers (28.85 ± 4.43 years) and infants (30.93 ± 3.26 days) participated in this study. Latent profile analysis identified 3 latent groups: mild (58.04%), moderate (34.37%), and severe (7.59%) postpartum adverse symptoms. Postpartum adverse symptoms were associated with delayed development in the baby's motor level (χ = 6.572, p = .037) and weight-for-length (χ = 9.652, p = .008). After controlling for mother and infant related factors, postpartum adverse symptoms remained a risk factor for infant motor level (odds ratio [OR]: 4.35; 95% confidence interval [CI]: 1.25-15.08) and weight-for-length (OR: 5.53; 95% CI: 1.55-19.74).
Maternal postpartum depression, fatigue and sleep quality are associated with infant development. Clinically, mothers with these symptoms should be intervened timely to avoid the aggravation of maternal symptoms, which affect baby's development.
目前的研究分别分析了产后抑郁、疲劳、睡眠与婴儿发育之间的联系。然而，在产后女性中，抑郁、疲劳和睡眠质量通常同时存在，作为不良症状共同影响婴儿的发育。本研究探讨了产妇产后症状对婴儿生长的影响。
本研究纳入了 224 对接受常规儿科门诊检查的单胎足月母亲及其婴儿。应用潜在剖面分析根据母亲产后抑郁、疲劳和睡眠特征来识别潜在的类别。我们采用多变量逻辑回归评估产妇的不良症状和婴儿的发育情况。
共有 224 对符合条件的母亲（28.85±4.43 岁）及其婴儿（30.93±3.26 天）参与了本研究。潜在剖面分析确定了 3 个潜在的类别：轻度（58.04%）、中度（34.37%）和重度（7.59%）产后不良症状。产后不良症状与婴儿运动水平（χ²=6.572，p=0.037）和体重-身长比（χ²=9.652，p=0.008）延迟有关。在校正母亲和婴儿相关因素后，产后不良症状仍然是婴儿运动水平（比值比 [OR]：4.35；95%置信区间 [CI]：1.25-15.08）和体重-身长比（OR：5.53；95% CI：1.55-19.74）的危险因素。
产妇产后抑郁、疲劳和睡眠质量与婴儿发育有关。临床上，对于有这些症状的母亲应及时进行干预，以避免母亲症状加重，影响婴儿的发育。
