Relationship between maternal postpartum depression, fatigue, sleep quality and infant growth: A cross-sectional study

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2024-08-18 DOI:10.1111/jjns.12614

Mingbo Wang, Ting Bai, Jie Zhang, Huahua Liu, Lingling Wu, Feng Zhang

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引用次数: 0

Abstract

Background

Current research separately analyzed the connection between postpartum depression, fatigue, sleep and infant development. However, depression, fatigue and sleep quality often coexisted as adverse symptoms in postpartum women and influenced infant development together. This study explored the maternal postpartum symptoms on infant growth.

Methods

Our study included 224 pairs of singleton full-term mothers and their infants who underwent routine pediatric outpatient clinics. Latent profile analysis was applied to identify the latent classes based on mothers' postpartum depression, fatigue and sleep profile characteristics. We evaluated the maternal adverse symptoms and infant development using multivariable logistic regressions.

Results

Totally, 224 pairs of eligible mothers (28.85 ± 4.43 years) and infants (30.93 ± 3.26 days) participated in this study. Latent profile analysis identified 3 latent groups: mild (58.04%), moderate (34.37%), and severe (7.59%) postpartum adverse symptoms. Postpartum adverse symptoms were associated with delayed development in the baby's motor level (χ² = 6.572, p = .037) and weight-for-length (χ² = 9.652, p = .008). After controlling for mother and infant related factors, postpartum adverse symptoms remained a risk factor for infant motor level (odds ratio [OR]: 4.35; 95% confidence interval [CI]: 1.25–15.08) and weight-for-length (OR: 5.53; 95% CI: 1.55–19.74).

Conclusions

Maternal postpartum depression, fatigue and sleep quality are associated with infant development. Clinically, mothers with these symptoms should be intervened timely to avoid the aggravation of maternal symptoms, which affect baby's development.

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产妇产后抑郁、疲劳、睡眠质量与婴儿生长之间的关系：横断面研究

背景：目前的研究分别分析了产后抑郁、疲劳、睡眠和婴儿发育之间的联系。然而，抑郁、疲劳和睡眠质量往往作为产后妇女的不良症状同时存在，并共同影响婴儿的发育。本研究探讨了产妇产后症状对婴儿成长的影响：我们的研究纳入了 224 对接受常规儿科门诊的单胎足月母亲及其婴儿。根据母亲的产后抑郁、疲劳和睡眠特征，采用潜特征分析法确定了潜在类别。我们使用多变量逻辑回归评估了产妇不良症状和婴儿发育情况：共有 224 对符合条件的母亲（28.85 ± 4.43 岁）和婴儿（30.93 ± 3.26 天）参与了本研究。潜伏特征分析确定了 3 个潜伏组：轻度（58.04%）、中度（34.37%）和重度（7.59%）产后不良症状。产后不良症状与婴儿运动水平发育延迟（χ2 = 6.572，p = .037）和身长体重（χ2 = 9.652，p = .008）相关。在控制了母婴相关因素后，产后不良症状仍是婴儿运动水平（几率比 [OR]：4.35；95% 置信区间 [CI]：1.25-15.08）和身长体重（OR：5.53；95% CI：1.55-19.74）的风险因素：结论：产妇产后抑郁、疲劳和睡眠质量与婴儿发育有关。结论：产妇产后抑郁、疲劳和睡眠质量与婴儿的发育有关，临床上应及时对有这些症状的产妇进行干预，以避免产妇症状加重，影响婴儿的发育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.