Relationship between fatigue and sleepiness with general health of mothers in the postpartum period

Nafiseh Khayamim, Parvin Bahadoran, Tayebeh Mehrabi

Abstract


ABSTRACT

Background: Fatigue and changes in sleep patterns are one of the impressive features in the first year after birth, which havenegative effects on work, family life, and social relationships. Therefore, the objective of this research was to investigate the relationship between fatigue and Stanford sleepiness with the general health of mothers in the postpartum period.


Materials and Methods: The current research is a descriptive correlational study which was performed on 190 mothers between 2 and 24 postpartum weeks, referring to the health centers of Isfahan in 2014. All mothers meeting the inclusion criteria were selected through cluster purposive sampling. Data were collected by use of four questionnaires including profile and fertility, fatigue, Stanford sleepiness, and general health. Data were analyzed by statistical tests at a significance level of ≤0.05.


Results: The results showed that 5.3%, 59.5%, and 35.3% of subjects had mild, moderate, and severe fatigue, respectively. In addition, 26.3% of women showed a public health disorder, and according to Stanford sleepiness, 20.5% of subjects had sleepiness. The statistical results indicated that there were significant relationships between fatigue (P ≤ 0.001, r = 0.52) and Stanford sleepiness (P = 0.04, r = 0.14), and mothers’ general health.


Conclusions: According to prevalence of fatigue and sleepiness in the postpartum period and its relationship with maternal health, application of sleep health education and appropriate counseling during pregnancy and after delivery is recommended to prevent mothers’ mental complications in order to achieve a safe pregnancy.


Key words: Fatigue, Iran, postpartum, public health, Stanford sleepiness


Keywords


Fatigue; Iran; postpartum; public health; Stanford sleepiness

Full Text:

PDF

References


Haghighat SH, Montazeri A, Akbari MA, Holakoui K, Rahimi A. Effective factors on fatigue in breast cancer patients. Iran J Breast Dis 2008;1:17‑24.

Sharpe M, Wilks D. Fatigue. BMJ 2002;325:480‑3. 3. North American Nursing Diagnosis Association. NANDA Nursing Diagnoses: Definitions and Classification, 2001–2002. Nursecom, Philadelphia; PA, 2001.

Giallo R, Wade C, Cooklin A, Rose N. Assessment of maternal fatigue and depression in the postpartum period: Support for two separate constructs. J Reprod Infant Psychol 2011;29:69‑80.

Rosenthal TC, Majeroni BA, Pretorius R, Malik K. Fatigue: An overview. Am Fam Physician 2008;78:1173‑9.

Orff HJ, Meliska CJ, Martinez LF, Parry BL. The influence of sex and gonadal hormones on sleep disorders. Chrono Physiol Ther 2014;4:15‑25.

Sadock BJ, Kaplan HI, Sadock VA. Kaplan and Sadock’s Synopsis of Psychiatry: Behavioral Sciences. 9th ed. Philadelphia: Lippincott Williams and Wilkins; 2008. p. 323.

Hunter LP, Rychnovsky JD, Yount SM. A selective review of maternal sleep characteristics in the postpartum period. J Obstet Gynecol Neonatal Nurs 2009;38:60‑8.

Kurth E, Kennedy HP, Spichiger E, Hösli I, Stutz EZ. Crying babies, tired mothers: What do we know? A systematic review. Midwifery 2011;27:187‑94.

Parks PL, Lentz ER, Milligan RA, Han HR. What happens when fatigue lingers for 18 months after delivery? J Obstet Gynecol Neonatal Nurs 1999;28:87‑93

Troy NW. Is the significance of postpartum fatigue being overlooked in the lives of women? MCN Am J Matern Child Nurs 2003;28:252‑9.

Troy NW, Dalgas‑Pelish P. The effectiveness of a self‑care intervention for the management of postpartum fatigue. Appl Nurs Res 2003;16:38‑45.

Bozoky I, Corwin EJ. Fatigue as a predictor of postpartum depression. J Obset Gynecol Neonatal Nurs 2002;31:436‑43.

Dunning MJ, Giallo R. Fatigue, parenting stress, self‑efficacy and satisfaction in mothers of infant sand young children. J Reprod Infant Psychol 2012;30:145‑59.

Rychnovsky J, Beck CT. Screening for postpartum depression in military women with the postpartum depression screening scale. Mil Med 2006;171:1100‑4.

Milligan R, Lenz ER, Parks PL, Pugh LC, Kitzman H. Postpartum fatigue: Clarifying a concept. Sch Inq Nurs Pract 1996;10:279‑91.

Gottlieb LN, Mendelson MJ. Mothers’ moods and social support when a second child is born. Matern Child Nurs J 1995;23:3‑14.

Wambach KA. Maternal fatigue in breastfeeding primiparae during the first nine weeks postpartum. J Hum Lact 1998;14:219‑29.

Gunderson EP, Rifas‑Shiman SL, Oken E, Rich‑Edwards JW, Kleinman KP, Taveras EM, et al. Association of fewer hours of sleep at 6 months postpartum with substantial weight retention at 1 year postpartum. Am J Epidemiol 2008;167:178‑87.

Heh SS, Huang LH, Ho SM, Fu YY, Wang LL. Effectiveness of an exercise support program in reducing the severity of postnatal depression in Taiwanese women. Birth 2008;35:60‑5.

Insana PS, Montgomery‑Downs HE. Maternal postpartum sleepiness and fatigue: Associations with objectively measured sleep variables. J Psychosom Res 2010;69:467‑73.

Dørheim SK, Bondevik GT, Eberhard‑Gran M, Bjorvatn B. Sleep and depression in postpartum women: A population‑based study. Sleep 2009;32:847‑55.

Goyal D, Gay CL, Lee KA. Patterns of sleep disruption and depressive symptoms in new mothers. J Perinat Neonatal Nurs 007;21:123‑9.

Sharma V, Mazmanian D. Sleep loss and postpartum psychosis. Bipolar Disord 2003;5:98‑105.

Ferrara M, De Gennaro L. How much sleep disorder do we need? Sleep Med Rev 2001;5:155‑79.

Posmontier B. Sleep quality in women with and without postpartum depression. J Obstet Gynecol Neonatal Nurs 2008;37:722‑37.

Lee KA, Gay CL. Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol 2004;191:2041‑6.

Lee SY, Lee KA. Early postpartum sleep and fatigue for mothers after cesarean delivery compared with vaginal delivery: An exploratory study. J Perinat Neonatal Nurs 2007;21:109‑13.

Signal TL, Gander PH, Sangalli MR, Travier N, Firestone RT, Tuohy JF. Sleep duration and quality in healthy nulliparous and multiparous women across pregnancy and post‑partum Aust N Z J Obstet Gynaecol 2007;47:16‑22.

Elek SM, Hudson DB, Fleck MO. Couples experiences with fatigue during the transition to parenthood. J Fam Nurs 2002;8:221‑40.

Taylor J, Johnson M. The role of anxiety and other factors in predicting postnatal fatigue: From birth to 6 months. Midwifery 2013;29:526‑34.

Abbott SM, Attarian H, Zee PC. Sleep disorders in perinatal women. Best Pract Res Clin Obstet Gynaecol 2014;28:159‑68.

Dennis CL, Ross L. Relationships among infant sleep patterns, maternal fatigue, and development of depressive symptomatology. Birth 2005;32:187‑93.

Huang CM, Carter PA, Guo JL. A comparison of sleep and daytime sleepiness in depressed and non‑depressed mothers during the early postpartum period. J Nurs Res 2004;12:287‑96.

Ghasab Shirazi M, Raeesi Dehkordi Z, Alidousti M, Raei M, Del Aram M, Mir Mohammad Ali M, et al. Comparison of maternal sleep quality in postpartum period between vaginal delivery and cesarean section. J Res Dev Nurs Midwifery 2013;10:69‑76.

Hosseini SV, Jafari Varjushani N. Community Health Nursing. 1st ed. Tehran: Jamee Negar; 2013. p.168.

Mindell JA, Owens JA. A clinical Guide to Pediatric Sleep: Diagnosis and Management of Sleep Problems. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2009. p. 230.

Nikpour M, Abedian Z, Mokhber N, Khaleghi Z, Banihosseini SZ, Ebrahimzadeh S. Relationship between delivery method and postpartum depression. J Fundament Mental Health 2012;14:46‑53.

Salary P, Banafshe E, Hebrani P, Jabbari Nooghabi H. On the relationship between maternal fatigue and postpartum depression. J Fundament Mental Health 2010;11:302‑11.

Nabavi SM, Mohammadi MB. A study of fatigue and related factors in patients with disseminated sclerosis in Iran. J Med Counc I. R. Iran 2006;24:159‑64.

Molaie E, Royani Z, Moujerlou M, Behnampour N, Golage J, Khari M. The factors related to fatigue in patients undergoing hemodialysis. J Res Develop Nurs Midwifery 2014;99:107.

Shamsaei F, Cheraghi F. Study of sleep disorder sand general health of people in Hamadancity. J Nurs Midwifery Hamadan 2013;20:40‑5.


Refbacks

  • There are currently no refbacks.