Alemu Solomon Seyife, Wedajo Lema Fikadu, Gezimu Wubishet, Geda Biftu, Jarso Mohammedamin Hajure
Department of Midwifery, College of Health Sciences, Madda Walabu University, Shashemene Campus, Shashemene, Ethiopia.
Department of Midwifery, Institute of Health Sciences, Wallaga University, Nekemte, Ethiopia.
BMC Psychiatry. 2024 Dec 4;24(1):884. doi: 10.1186/s12888-024-06351-5.
Insomnia during the postpartum period has short-term and long-lasting effects on the health of the mother and her baby. Hence, this study assessed the prevalence of insomnia and its associated factors among postpartum mothers in Mattu City.
A community-based cross-sectional study was conducted among randomly selected 451 postpartum mothers in Mattu City from May 1 to June 1, 2022. A structured questionnaire was used to conduct a face-to-face interview. Athens's Insomnia Scale (AIS) standardized tool was used to measure insomnia. EpiData version 4.4.2.1 and Statistical Package for Social Sciences version 26 were used for data entry and analysis, respectively. Factors significantly affecting insomnia were identified using a binary logistic regression analysis at a p-value of less than 0.05.
The prevalence of insomnia was found to be 29.3% (95% CI: 25, 33.5). Parity (AOR = 3.36; 95% CI: 1.88, 5.60), unplanned pregnancy (AOR = 6.15; 95% CI: 5.23, 11.55), lack of postnatal follow-up (AOR = 3.82; 95% CI: 1.85, 7.90), partner dissatisfaction with the gender of the current baby (AOR = 5.73; 95% CI: 3.23, 10.2), partner daily alcohol use (AOR = 3.12; 95% CI: 1.66), and postpartum intimate partner violence (AOR = 2.60; 95% 4.67) were found to be factors significantly associated with insomnia.
Generally, three in ten mothers were suffering from insomnia in the study area. Therefore, health professionals and health extension workers need to endorse and enhance the counseling of the postpartum mother and her partner jointly. In addition, the media and other concerned bodies should focus on the identified factors to overcome them.
产后失眠对母亲及其婴儿的健康有短期和长期影响。因此，本研究评估了马图市产后母亲中失眠的患病率及其相关因素。
2022年5月1日至6月1日，在马图市随机抽取451名产后母亲进行了一项基于社区的横断面研究。使用结构化问卷进行面对面访谈。采用雅典失眠量表（AIS）标准化工具测量失眠情况。分别使用EpiData 4.4.2.1版和社会科学统计软件包26版进行数据录入和分析。采用二元逻辑回归分析确定p值小于0.05时显著影响失眠的因素。
失眠患病率为29.3%（95%置信区间：25，33.5）。经产妇（比值比=3.36；95%置信区间：1.88，5.60）、意外怀孕（比值比=6.15；95%置信区间：5.23，11.55）、缺乏产后随访（比值比=3.82；95%置信区间：1.85，7.90）、伴侣对当前婴儿性别不满意（比值比=5.73；95%置信区间：3.23，10.2）、伴侣每日饮酒（比值比=3.12；95%置信区间：1.66）以及产后亲密伴侣暴力（比值比=2.60；95%置信区间：4.67）被发现是与失眠显著相关的因素。
总体而言，研究区域内十分之三的母亲患有失眠。因此，卫生专业人员和健康推广工作者需要共同认可并加强对产后母亲及其伴侣的咨询。此外，媒体和其他相关机构应关注已确定的因素以克服它们。
