Maternal Sleep After Delivery And Its Effect On The Growth Of Their Infants

Objectives1.Trace and describe maternal sleep,depression and social support after delivery and the situation of their baby’s growth.2.Explore the relationship between maternal sleep,maternal depression,maternal social support.3.Explore the relationship between maternal sleep and their baby’s growth.MethodsChoose puerperas and infants meet the inclusion criteria from six hospitals in changsha city randomly,investigate puerperas’general information and infants’sleep behavior for each stage by using questionnaire selfprepared;PSQI to trace puerperas’sleep in one week,one month,two month and three month relatively;EPDS to trace and screen the puerperas’depression in one week,one month,two month and three month relatively;SSRS to investigate puerperas’social support, weighing-machine and flexible rule to measure and trace the height and weight of the infants in one month,two month and three month relatively.Resultsl.The PSQI score is(8.00±3.87),(6.90±3.52),(5.70±3.10),and (5.77±2.61)relatively in the first week,the first month,the second month and the three month,there is a difference between each stage(P<0.05),The PSQI score is the highest in the first week and the maternal sleep is the worst(P<0.05).2.There are seven factors in PSQI scale,the scores of six factors decreased gradually for each stage in the first three months after the delivery and have statistical differences(P<0.05),except one factor(the sixth factor"sleep medication").There are nine items in the fifth factor,"sleep disorders",among the items,three items ("feeling cold","using drugs for hypnosis",and"other things affecting sleep")have no statistical differences between each stage,while the rest six items does.P<0.05;There are three items in the forth factor"sleep efficiency",among the items,only one item has no statistical differences between each stage,P>0.05,while the rest two items does.P<0.05.3.The EPDS score is (4.93±3.57),(4.21±3.06),(2.39±2.28), and (1.65±1.84) relatively in the first week,the first month,the second month and the third month.The score is gradually reduced over time,it is highest in the first week,lowest in the third month,P<0.05.There are statistical differences between any two of groups(sleeping good group,sleeping ordinary group,sleeping bad group)in every stage.The worse the sleep quality,the higher the EPDS score gain.4.The SSRS score is (44.00±6.35) for the puerperas after delivery.There are three dimensions,"Subjective support","objective support","the use of support",the score is (23.84±3.695),(11.64±2.33),and (8.53±2.09) relatively.There are no statistical differences between the sleeping good group and sleeping ordinary group in the SSRS score and its three dimensions scores,other any two groups do,P<0.05.5.There are statistical differences in the hight and the weight of infants between their mothers’different sleep quality levels,the sleeping bad group mothers’infants’growth is at the lowest level,P<0.05.6.The puerperas’scores of PSQI and its seven factors in each stage all have negative correlation with their corresponding infants’height and weight growth in each stage(P<0.05);the puerperas’PSQI score has positive correlation with the EPDS score in each stage(P<0.05);negative correlation with the SSRS score in each stage (P<0.05);the EPDS score has negative correlation with the SSRS score in each stage (P<0.05).Conclusions1.The sleep quality of the puerperas have problems in the first three months after delivery and the first week is the worst;2. The sleep quality of the puerperas in the first three months have positive correlation with three month’s EPDS score,negative correlation with the SSRS score,negative correlation with the infants’three months’ height and weight growth;the three month’s EPDS score have negative correlation with the SSRS score.The worse the sleep quality of the puerperas,the easier to be depressed for them;the higher of the social support,the less prone to be sleeping bad and depressed;3. The sleep quality of the puerperas in the first three months could affect their infants’growth.