关键词: breastfeeding co-sleeping infancy maternal complaints maternal mental health mothers’ difficulties sleep sleep quality

来  源:   DOI:10.3390/healthcare12131278   PDF(Pubmed)

Abstract:
BACKGROUND: This study explores whether the implementation of co-sleeping in infants aged 6-12 months (a) is associated with maternal complaints and mothers\' difficulties regarding their infant\'s sleep, (b) is associated with maternal mental health, (c) affects infant sleep characteristics and maternal sleep quality, and (d) is associated with breastfeeding.
METHODS: This study is a cross-sectional study conducted from July to November 2021. A total of 151 new mothers of infants aged 6-12 months participated. All participants were divided into two different groups, the group of mothers who adopted the co-sleeping method from birth up to the time of the survey and the group of those who did not adopt co-sleeping at that time. The Brief Infant Sleep Questionnaire-Revised Short Form (BISQ-R SF), the Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI), and a questionnaire on mothers\' demographics were administered.
RESULTS: Regarding the mothers\' complaints, mothers who co-sleep with their children have lower sleep quality than those who do not co-sleep. In respect of the mothers\' mental health, there did not seem to be a statistically significant difference in the two groups. Regarding the difficulties during the sleep process, children who sleep with their parents seem to have more difficulties compared to the others (p = 0.008). It was also shown that co-sleeping children seem to have more disturbed sleep compared to those who sleep alone (p = 0.018), and a general trend obtained of a significantly higher number of awakenings for co-sleeping children (p < 0.001). Finally, breastfeeding appeared to be more related to the children of the present sample sleeping with their parents (p < 0.001).
CONCLUSIONS: This study showed that co-sleeping is associated with more difficulties in infant and maternal sleep, but no direct correlation with maternal mental health was found. In addition, it showed a positive correlation of co-sleeping with breastfeeding.
摘要:
背景:这项研究探讨了在6-12个月(a)的婴儿中实施共同睡眠是否与母亲抱怨和母亲对婴儿睡眠的困难有关,(b)与产妇心理健康有关,(c)影响婴儿睡眠特征和产妇睡眠质量,(d)与母乳喂养有关。
方法:本研究是一项横断面研究,于2021年7月至11月进行。共有151名6-12个月婴儿的新母亲参加。所有参与者被分为两个不同的组,从出生到调查时采用共睡方法的母亲组,以及当时没有采用共睡方法的母亲组。简明婴儿睡眠问卷修订后的简短表格(BISQ-RSF),爱丁堡产后抑郁量表(EPDS),状态特质焦虑量表(STAI),并进行了一份关于母亲人口统计学的问卷。
结果:关于母亲的投诉,与孩子同睡的母亲的睡眠质量低于不同睡的母亲。关于母亲的心理健康,两组似乎没有统计学上的显著差异.关于睡眠过程中的困难,与父母一起睡觉的孩子似乎比其他人有更多的困难(p=0.008)。研究还表明,与单独睡觉的孩子相比,共同睡觉的孩子似乎睡眠更加不安(p=0.018),和一个普遍的趋势是,睡眠儿童的觉醒次数明显更高(p<0.001)。最后,母乳喂养似乎与本样本中与父母同睡的儿童更相关(p<0.001).
结论:这项研究表明,共同睡眠与婴儿和产妇睡眠困难有关,但没有发现与母亲心理健康的直接相关。此外,它显示睡眠与母乳喂养呈正相关。
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