Hepler Bonnie, Brandon Debra, Docherty Sharron, Stuebe Alison M, Tully Kristin P
J Obstet Gynecol Neonatal Nurs. 2025 May 15. doi: 10.1016/j.jogn.2025.04.005.
To quantify maternal sleep during the 24 hours before hospital discharge after childbirth and to identify and describe the antecedents and contexts of waking.
Secondary analysis of data from an observational video study.
Academic medical center in the southeastern United States.
Fourteen women who gave birth.
We conducted a secondary analysis of video and audio recordings of inpatient postpartum care from a mixed-methods study conducted in 2020 by the Postnatal Patient Safety Learning Lab. We used a behavioral taxonomy to code 316.5 hours of sleep in 5-minute increments and waking context in the 24 hours before hospital discharge after childbirth. We developed case descriptions and visual case summaries to identify and describe the antecedents and contexts of waking.
We found a median of 2.8 hours of total sleep (range, 50 minutes to 5.6 hours) per participant during the 24-hour observation period. Antecedents to waking included sounds from the newborn, companion, health care team member(s), or environment. Difficulty getting to sleep due to physical and emotional discomfort was common in the case studies.
Total sleep and the antecedents and contexts of waking varied among participants. The low amount and fragmented nature of maternal sleep before hospital discharge highlights multiple opportunities to protect and promote sleep during inpatient care after childbirth. The hours leading up to hospital discharge are important for newborn feeding, recovery, and education about health warning signs.
量化产后出院前24小时内产妇的睡眠情况，并识别和描述觉醒的前因和背景。
对一项观察性视频研究的数据进行二次分析。
美国东南部的学术医疗中心。
14名分娩的女性。
我们对产后患者安全学习实验室在2020年进行的一项混合方法研究中的住院产后护理视频和音频记录进行了二次分析。我们使用行为分类法，以5分钟为增量对分娩后出院前24小时内的316.5小时睡眠和觉醒背景进行编码。我们编写了案例描述和可视化案例摘要，以识别和描述觉醒的前因和背景。
在24小时观察期内，我们发现每位参与者的总睡眠时间中位数为2.8小时（范围为50分钟至5.6小时）。觉醒的前因包括新生儿、陪伴者、医疗团队成员或环境发出的声音。在案例研究中，因身体和情绪不适导致入睡困难很常见。
参与者的总睡眠时间以及觉醒的前因和背景各不相同。产后出院前产妇睡眠量少且碎片化，这凸显了在产后住院护理期间保护和促进睡眠的多个机会。出院前的几个小时对于新生儿喂养、恢复以及健康警示标志教育非常重要。
