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May 15, 2024Sleep Science7 citationsOpen Access

Factors Associated with Poor Sleep Quality in Postpartum Women: A Crossectional Study

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AMAna Júlia Pereira MottaRLRoselma LuccheseGLGraciele Cristina Silva Leão

Key Points

  • Poor sleep quality affects 70.25% of postpartum women with a PSQI score above 5, indicating significant sleep issues.
  • Young and older women, alongside those with low income, reported higher instances of sleep disturbances.
  • This cross-sectional study assessed sociodemographic and clinical characteristics using the Pittsburgh Sleep Quality Index for measurement of sleep quality issues across 400 women in Brazil from 2020 to 2021.  These findings highlight the need for a multidisciplinary approach to address sleep issues in new mothers, as they face various emotional and physical changes post-birth.

Abstract

Abstract Objective This study aimed to analyze the factors associated with poor sleep quality in women in the postpartum period who were assisted in a municipality in central Brazil. Material and Methods This is a cross-sectional study (n = 400) conducted virtually from 2020 to 2021. Sociodemographic and clinical characteristics, self-perceived sleep, and the Pittsburgh Sleep Quality Index (PSQI) were assessed. Results It was identified that 82% of postpartum women were between 18 and 35-years-old and had an average monthly household income of R2, 339. 27 ± 1, 812. 95. It was also found that 33. 50% (95% CI: 28. 7–38. 0) had sleep disorders (PSQI >10) ; 70. 25% (95%CI 65. 8–74. 8) had poor sleep quality (PSQI >5) ; 57. 4% (95% CI: 52. 0–63. 1) had inadequate sleep on weekdays/workdays; and 64. 1% (95% CI 59. 3–69. 2) had unsuitable sleep on weekends/days off. It was found that the factors associated with sleep disturbance were: age between 35 years (p = 0. 048) ; difficulty to think clearly (p = 0. 043) ; frequent sadness (p = 0. 046) ; poor sleep quality; low income (p = 0. 030) ; difficulty to think clearly (p = 0. 013) ; and loss of interest in things (p = 0. 030). As for sleep on weekdays, the associated factors were: marital status without a partner (p = 0. 008) ; and being a victim of physical violence (p = 0. 003). Finally, for sleep on weekends/off: nonwhite skin-color (p = 0. 039) ; and having postpartum depression (p = 0. 029). Conclusion The findings of the present study call attention to the impacts of changes in women's bodies, behavior, and interpersonal relationships caused by the arrival of a newborn. We also highlight the need for a multidisciplinary and comprehensive medical approach in this period.

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Cite This Study

Motta et al. (2024) studied this question.

synapsesocial.com/papers/68e69ff8b6db643587623874https://doi.org/10.1055/s-0044-1782174
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