Multidimensional sleep health and breastfeeding self-efficacy: A cross-sectional study

IF 2.5 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-09-22 DOI:10.1016/j.midw.2025.104618

Sha Li , Xianyan Hao , Yanzhe Wang , Xingchen Shang , Qingyu Wang , Jiayin Ruan

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引用次数: 0

Abstract

Background

Breastfeeding is recommended for new mothers. However, the rate of breastfeeding is far below the recommendation, and researchers have devoted themselves to exploring the associated factors to promote breastfeeding.

Aim

To explore the association between maternal multidimensional sleep health and prenatal breastfeeding self-efficacy.

Methods

A cross-sectional survey was conducted among pregnant women attending obstetrics departments at three hospitals in Jiangsu, China. The RU_SATED 2.0, Prenatal Breastfeeding Self-efficacy Scale, Maternity Social Support Scale, 7-item Generalized Anxiety Disorder Scale, and 9-item Patient Health Questionnaire were administered to evaluate multidimensional sleep health, prenatal breastfeeding self-efficacy, social support, and anxiety and depression symptoms of pregnant women, respectively. Independent t-tests and multiple linear regression were applied to explore the association between multidimensional sleep health and prenatal breastfeeding self-efficacy.

Findings

A total of 349 pregnant women completed the survey, with a mean age of 30.59 years (SD=3.96, Range: 20–45). The scores of sleep health and prenatal breastfeeding self-efficacy were 15.07±3.65 and 56.96±15.31, respectively. Independent t-tests revealed that pregnant women with better sleep health demonstrated significantly higher scores in prenatal breastfeeding self-efficacy, including the skills and needs and information acquisition domains (Cohen’s d ranging from 0.330 to 0.435). Moreover, the linear regression model showed that better sleep health (B=0.58, P=0.011), more social support (B=0.65, P=0.022), and current children (B=14.05, P<0.001) were associated with higher prenatal breastfeeding self-efficacy, while gestational age was negatively associated with prenatal breastfeeding self-efficacy (B=−0.21, P=0.027) after adjusting for covariates.

Conclusion

Optimal multidimensional sleep health is associated with better prenatal breastfeeding self-efficacy, and targeted sleep health interventions should be implemented to enhance maternal sleep health and promote better breastfeeding outcomes.

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多维睡眠健康与母乳喂养自我效能：一项横断面研究

背景：建议新妈妈母乳喂养。然而，母乳喂养的比率远远低于建议，研究人员一直致力于探索促进母乳喂养的相关因素。目的探讨产妇多维睡眠健康与产前母乳喂养自我效能感的关系。方法对江苏省三所医院产科孕妇进行横断面调查。采用RU_SATED 2.0量表、产前母乳喂养自我效能感量表、产妇社会支持量表、7项广泛焦虑障碍量表和9项患者健康问卷，分别对孕妇的多维睡眠健康、产前母乳喂养自我效能感、社会支持和焦虑抑郁症状进行评估。采用独立t检验和多元线性回归探讨多维睡眠健康与产前母乳喂养自我效能的关系。共349名孕妇完成调查，平均年龄30.59岁（SD=3.96，范围：20 ~ 45岁）。睡眠健康和产前母乳喂养自我效能得分分别为15.07±3.65分和56.96±15.31分。独立t检验显示，睡眠健康状况较好的孕妇在产前母乳喂养自我效能感得分显著较高，包括技能和需求以及信息获取领域（Cohen’s d范围为0.330 ~ 0.435）。校正协变量后，线性回归模型显示，较好的睡眠健康（B=0.58， P=0.011）、较多的社会支持（B=0.65， P=0.022）和现有子女（B=14.05, P<0.001）与较高的产前母乳喂养自我效能感相关，而胎龄与产前母乳喂养自我效能感呈负相关（B= - 0.21， P=0.027）。结论优化的多维睡眠健康与更好的产前母乳喂养自我效能感相关，应实施有针对性的睡眠健康干预措施，以改善产妇的睡眠健康，促进更好的母乳喂养效果。

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

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.