Korean J Women Health Nurs.  2014 Dec;20(4):266-276. 10.4069/kjwhn.2014.20.4.266.

Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery

Affiliations
  • 1Eulji University Hospital, Daejeon, Korea.
  • 2College of Nursing, Eulji University, Daejeon, Korea. mhhur@eulji.ac.kr

Abstract

PURPOSE
This study was correlation study to identify the factors influencing sleep quality, fatigue, and postnatal depression in mothers who have given birth during the past 6 months.
METHODS
The study was conducted using a survey with questionnaires to 329 mothers who visited E University Medical Center, or three local clinics located in D city, between August and October 2013. Collected data were analyzed using the SPSS/WIN 20.0 program.
RESULTS
Out of 329 subjects, 18.2% showed that they had mild postnatal depression whereas 24.3% had severe postnatal depression. Accordingly, 42.5% reported having postnatal depression. Postnatal depression had a significant correlation with sleep hours after childbirth (r=-.16, p=.003), spousal support (r=-.28, p<.001), sleep quality (r=-.35, p<.001), physical fatigue (r=.66, p<.001), psychological fatigue (r=.69, p<.001), and neurosensory fatigue (r=.56, p<.001). Factors influencing postnatal depression include psychological fatigue, sleep quality, number of child births, and neurosensory fatigue, and these accounted for 53% of postnatal depression.
CONCLUSION
Results indicate that factors influencing postnatal depression involve psychological fatigue, sleep quality, number of child births, and neurosensory fatigue. Therefore for nursing intervention for postpartum mothers, it is necessary to assess the level of depression, fatigue, and sleep quality, and to provide interventions to relieve depression.

Keyword

Postpartum period; Sleep; Fatigue; Postpartum depression

MeSH Terms

Academic Medical Centers
Child
Depression
Depression, Postpartum*
Fatigue*
Female
Humans
Mothers*
Nursing
Parturition
Postpartum Period
Surveys and Questionnaires
Statistics as Topic

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Reference

1. Park WM, Min KJ. Text book of depressive disorders. Seoul: Sigma Press;2012. p. 295–300.
2. Halbreich U, Karkun S. Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord. 2006; 91(2-3):97–111.
Article
3. Stewart RC. Maternal depression and infant growth-a review of recent evidence. Matern Child Nutr. 2007; 3(2):94–107.
4. Avan B, Richter LM, Ramchandani PG, Norris SA, Stein A. Maternal postnatal depression and children's growth and behaviour during the early years of life: exploring the interaction between physical and mental health. Arch Dis Child. 2010; 95(9):690–695.
Article
5. Wee KY, Skouteris H, Pier C, Richardson B, Milgrom J. Correlates of ante-and postnatal depression in fathers: A systematic review. J Affect Disord. 2011; 130(3):358–377.
6. Wolf AW, De Andraca I, Lozoff B. Maternal depression in three Latin American samples. Soc Psychiatry Psychiatr Epidemiol. 2002; 37(4):169–176.
Article
7. Cho EJ. Subjective sleep quality in depressed and non-depressed mothers during the late postpartum period. Korean J Women Health Nurs. 2009; 15(2):108–120.
Article
8. Bozoky I, Corwin EJ. Fatigue as a predictor of postpartum depression. J Obstet Gynecol Neonatal Nurs. 2002; 31(4):436–443.
Article
9. Dennis CL, Ross L. Relationships among infant sleep patterns, maternal fatigue, and development of depressive symptomatology. Birth. 2005; 32(3):187–193.
Article
10. Jung MH, Kim JI. A study on the relationship among prenatal emotional status, preparation for delivery, postpartum social support and postpartum blues. Korean J Women Health Nurs. 2005; 11(1):38–45.
Article
11. Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol. 2010; 202(1):5–14.
Article
12. 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 postpartum. Aust N Z J Obstet Gynaecol. 2007; 47(1):16–22.
Article
13. Ford DE, Cooper-Patrick L. Sleep disturbances and mood disorders: An epidemiologic perspective. Depress Anxiety. 2001; 14(1):3–6.
Article
14. Ross LE, Murray BJ, Steiner M. Sleep and perinatal mood disorders: A critical review. J Psychiatry Neurosci. 2005; 30(4):247–256.
15. Corwin EJ, Brownstead J, Barton N, Heckard S, Morin K. The impact of fatigue on the development of postpartum depression. J Obstet Gynecol Neonatal Nurs. 2005; 34(5):577–586.
Article
16. Rychnovsky J, Hunter LP. The relationship between sleep characteristics and fatigue in healthy postpartum women. Womens Health Issues. 2009; 19(1):38–44.
Article
17. Reeves N, Potempa K, Gallo A. Fatigue in early pregnancy: An exploratory study. J Nurse Midwifery. 1991; 36(5):303–309.
Article
18. Snyder-Halpern R, Verran JA. Instrumentation to describe subjective sleep characteristics in healthy subjects. Res Nurs Health. 1987; 10(3):155–163.
Article
19. Kim KS. The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal surgical patients. J Korean Acad Fundam Nurs. 1994; 1(1):19–36.
20. Pugh LC. Childbirth and the measurement of fatigue. J Nurs Meas. 1993; 1(1):57–66.
Article
21. Song JE. A comparative study on the level of postpartum women's fatigue between rooming-in and non rooming-in groups. Korean J Women Health Nurs. 2001; 7(3):241–255.
Article
22. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression Development of the 10-item edinburgh postnatal depression scale. Br J Psychiatry. 1987; 150:782–786.
23. Han K, Kim M, Park J. The edinburgh postnatal depression scale, Korean version: reliability and validity. J Korean Soc Biol Ther Psychiatry. 2004; 10(2):202–207.
24. Park JW. Study to development a scale of social support [dissertation]. Seoul: Yonsei University;1985.
25. Hedman C, Pohjasvaara T, Tolonen U, Suhonen-Malm AS, Myllyla VV. Effects of pregnancy on mother's sleep. Sleep Med. 2002; 3(1):37–42.
Article
26. Kempler L, Sharpe L, Bartlett D. Sleep education during pregnancy for new mothers. BMC Pregnancy Childbirth. 2012; 12(1):155.
Article
27. Choi SY, Gu HJ, Ryu EJ. Effects of fatigue and postpartum depression on maternal perceived quality of life (MAPP-QOL) in early postpartum mothers. Korean J Women Health Nurs. 2011; 17(2):118–125.
Article
28. Song JE. Predictors of postpartum fatigue between early and late postpartum period in parturient women: divided by 3/4 weeks of postpartum period. Korean J Women Health Nurs. 2007; 13(4):299–309.
Article
29. Centers for Disease Control and Prevention. Prevalence of self-reported postpartum depressive symptoms-17 states, 2004-2005. MMWR Morb Mortal Wkly Rep. 2008; 57(14):361–366.
30. Jang EJ. Psychosocial and obstetric factors associated with postpartum depressive symptoms [master's thesis]. Gyeongju: Dongguk University College of Medicine;2008.
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