期刊
JOURNAL OF CLINICAL SLEEP MEDICINE
卷 16, 期 8, 页码 1265-1274出版社
AMER ACAD SLEEP MEDICINE
DOI: 10.5664/jcsm.8484
关键词
maternal; infant; behavioral; prenatal; postpartum; sleep intervention; pediatric; actigraphy
资金
- Health Research Council of New Zealand [09/255]
Study Objectives: This study tested the acceptability and efficacy of a perinatally delivered behavioral-educational sleep intervention. Methods: Participants were 40 primiparous women assigned in late pregnancy to either an intervention (n = 20) or control (n = 20) group. The sleep intervention group (SIG) received prenatal anticipatory education and guidance regarding their own and their infant's sleep during the first 3 months postpartum. This was reinforced during phone calls within the first 6 weeks postpartum. The control group (CG) received brief sleep hygiene information at a prenatal session, followed by 2 phone calls during the same period. Mother-infant pairs wore actigraphs for 48 hours at 6 and 12 weeks postpartum, and mothers kept sleep diaries. Questionnaires completed in late pregnancy and 6 and 12 weeks postpartum related to sleep, newborn care, and mood. The main outcome measures included maternal sleep quantity, efficiency, and self-reported quality and infant sleep duration and consolidation. Results: Mothers reported high acceptability of the study processes. Sleep duration and quality increased for mothers and infants across time in both groups, with a significantly greater increase in nocturnal sleep duration for mothers in the SIG. Conclusions: Prenatal sleep guidance and postnatal follow-up seems to enhance nocturnal sleep of mothers, change their perceptions of their own sleep, and increase confidence in managing their infant's sleep. Follow-up at later intervals and replication with larger, more diverse samples may reveal further differences.
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