SLEEP DISTURBANCES AND FATIGUE AMONG WOMEN IN POSTNATAL PERIOD

El-Morsey, Al- Shimaa Mohsen Ahmed

doi:10.21608/pssjn.2019.33448

SLEEP DISTURBANCES AND FATIGUE AMONG WOMEN IN POSTNATAL PERIOD

Author

Al- Shimaa Mohsen Ahmed El-Morsey

Maternity, Obstetric and Gynecological Nursing, Faculty of Nursing – Port-said University

10.21608/pssjn.2019.33448

Abstract

Background: Sleep in the postpartum period is a concern due to robust associations with wake disturbance, fatigue, and depression. Objectives: The aim of this study was to assess sleep disturbances and fatigue among women in postnatal period. Subject and Methods: Design a descriptive study design was utilized in this study. Settings the study was carried out in six health centers in Port-Said city namely (El-Manakh, Bank El-Escan, El-Arab, El-Kuwait, Port-Fouad (2), and Omar Ebn-ElKhatab). Sample a Purposive sample was followed in the present study. The study subjects consisted of 322 postpartum women recruited from postpartum outpatient clinics in the above mentioned settings. A Structured interviewed schedule sheet, the Global Sleep Assessment Questionnaire (GSAQ), and the Multidimensional Fatigue Symptom Inventory Short (MFSI_SF). Results: The study’s results indicated that (69.6%) had high sleep disturbance, and (93.8%) had high fatigue. There was statistical significant relation between sleep disturbance and women's residence (p=0.007), women's mode of delivery (p=0.015), and women with problems after delivery (p=0.019). There were statistically significant relationship between fatigue and crowding index (p=0.009), women's residence (p=0.021), complication after delivery (p=0.009), hospital's stay after delivery (p= 0.018), and receiving help for caring the baby from their sisters (p=0.042). Conclusion: It was concluded that, the great majority of the studied women had postnatal fatigue, and about more than two-thirds of them had sleep disturbance. Factors that were increased these problems including living with extended family and high crowding index. Receiving postnatal instructions seems to decrease both sleep and fatigue problems; both sleep and fatigue were decreased with staying one day only at the hospital. While help giving at home from women's sisters was decreasing women’s sleep disturbances and fatigue compared with help from husband. There was a highly statistically significant positive correlation between sleep disturbance and fatigue. Recommendations: It was recommended that awareness program for women and nurses about caring for postnatal period and who are at risk of developing postnatal fatigue and sleep disturbances, and help them to cope with the difficulties encountered

Keywords

References

Aigboje H.M, Osa-Afiana D.D. (2014): Sleep Deprivation: Effect on Mental Task Performance of Military Cadets: International Journal of Humanities and Social Science; 4(1): Pp202-208.

Ashrafinia F., Mirmohammadali M., Rajabi H., Kazemnejad A., Haghighi K.S. and Amelvalizadeh M. (2015): Effect of Pilates exercises on postpartum maternal fatigue: Singapore Med J;56 (3): Pp 169-173.

Cheng C.Y and Li Q. (2008): Integrative review of research on general health status and prevalence of common physical health conditions of women after childbirth. Women's Health Issues; 18 (4): Pp 267-80.

Hall W., Stoll K., Hutton E., and Brown H. (2012): A prospective study of effects of psychological factors and sleep on obstetric interventions, mode of birth, and neonatal outcomes among low-risk British Columbian women: BMC Pregnancy and Childbirth;12 (78): Pp 2-10.

Huang K, Tao F, Liu L, and Wu X. (2011): Does delivery mode affect women’s postpartum quality of life in rural China? Blackwell Publishing Ltd, Journal of Clinical Nursing 21, (11-12): Pp 1534–1543.

Kammerer M, Marks M.N, Pinard C, Taylor A, VonCastelberg B, Kunzli H, and Glover V, (2009): Symptoms associated with the DSM IV diagnosis of depression in pregnancy and postpartum. Arch Women's Mental Health; 12(3): Pp 135-141.

Karbandi S, Hosseini S.M, Masoudi R, Hosseini S.A, and Sadeghi F. (2016): Recognition of the efficacy of relaxation program on sleep quality of mothers with premature infants, Journal of Education and Health Promotion ;( 4): Pp1-6.

Kilic M., Ozorhan E.Y., Çapik A., Agapinar S. and Özkan H. (2015): Comparison of Fatigue Levels of Postpartum Women According to the Birth Method, International Journal of Caring Sciences, 8 (1): Pp124-130.

Ko S-H, Chen C-H, Wang H-H, and Su Y-t (2014): Postpartum Women’s Sleep Quality and Its Predictors in Taiwan: Journal of Nursing Scholarship; 46(2): Pp74–81.

Kuo, S.Y., Yang, Y.L., Kuo, P.C., Tseng, C.M. and Tzeng, Y.L. (2012): Trajectories of Depressive Symptoms and Fatigue among Postpartum Women, JOGNN, 41 (2): Pp216-226.

McBean A, and Montgomery-Downs H., (2015): Diurnal Fatigue Patterns, Sleep Timing, and Mental Health Outcomes among Healthy Postpartum Women. Biological Research for Nursing, 17(1): Pp29-39.

Mohamed H.A., El Ngger N. and Lamadah S.M. (2012): Women' perspectives regarding the quality of postpartum nursing care in Ain Shams Maternity Hospital– Cairo, Egypt: Journal of American Science; 8 (2): Pp366-377.

Mohamed S. (2010): Sleep disturbances and fatigue among the postnatal women and influencing factors. Published, Faculty of nursing, Zagazing University, MSC, p14, Pp100-112.

Mousavi S.A, Mortazavi F, Chaman R, and Khosravi A. (2013): Quality of Life after Cesarean and Vaginal Delivery: Oman Medical Journal; 28 (4): Pp245-251.

Reeves W.C, Lloyd A, Vernon S.D, Klimas N, Jason L.A, Bleijenberg G, Evengard B, White P.D, Nisenbaum R, Unger E.R, and International Chronic Fatigue Syndrome Study Group., (2003): Identification of ambiguities in the 1994 chronic fatigue syndrome research case definition and syndrome research case definition and recommendations for resolution. BMC Health Services Research; 3:25.

Rezaei N, Azadi A, Zargousi R, Sadoughi Z, Tavalaee Z, and Rezayati M. (2016): Maternal Health-Related Quality of Life and Its Predicting Factors in the Postpartum Period in Iran; Hindawi Publishing Corporation Scientiﬁca; Volume 2016:Pp1-7.

Roth T, Zammit G, Kushida C, Doghramji K, Mathias S.D, Wong J.M, and Buysse D.J (2002): A new Questionnaire to detect sleep disorders. Sleep Med.; 3(2): Pp99-108.

Rowlands I.J and Redshaw M. (2012): Mode of birth and women’s psychological and physical wellbeing in the postnatal period: BMC Pregnancy and Childbirth, 12,138: Pp1-11.

Rychnovsky J. (2011): The Relationship between Sleep Characteristics and Fatigue in Postpartum Women. Conference Sponsor: Sigma Theta Tau International.

Rychnovsky& Hunter, (2009): The relationship between sleep characteristics and fatigue in healthy postpartum women: Women's Health Issues; 19(1): Pp38-44.

Sharkey K.M, Iko I.N, Machan J.T, Thompson-Westra J, and Pearlstein T.B (2016): Infant sleep and feeding patterns are associated with maternal sleep, stress, and depressed mood in women with a history of major depressive disorder (MDD): Arch Women's Mental Health; 19: Pp209–218.

Song J.-E., Chang S-B., Park S-M., Kim S, Nam C-M. (2010): Empirical test of an explanatory theory of postpartum fatigue in Korea. Journal of Advanced Nursing; 66 (12):Pp2627–2639.

Stein K.D, Jaceeobsen P.B, Blanchard C.M, and Thors C.(2004): Further Validation of the multidimensional fatigue symptom inventory-short form. J Pain Symptom Manage; 27(1): Pp14-23.

Unger E.R, Nisenbaum R, Moldofsky H, Cesta A, Sammut C, Reyesand M, Reeves W.C., (2004): Sleep assessment in a population-based study of chronic fatigue syndrome. BMC Neurology; 4:6doi:10.1186/1471-2377-4-6.

Ward S.L, Hisley S, Kennedy A.M. (2015): Maternal-Child Nursing Care, Optimizing outcomes for Mothers, Children& Families.2nd edition, United States of America: Library of Congress Cataloging-in-Publication Data, P592.

White C.P, Bradley S.L, Neverve L, Stirewalt L, and Summers X., (2015): Does Maternal Fatigue Inﬂuence Maternal Verbal Control in a Stressful Parenting Task with Toddlers? Journal Child Family Stud; 24: Pp351–362.