Does the feeding method affect the quality of infant and maternal sleep? A systematic review

IF 1.9 3区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL
Denisa Manková , Soňa Švancarová, Eliška Štenclová
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Abstract

Breastfeeding brings many benefits to both mother and infant. Although, many women stop breastfeeding their infants too soon. The perceived association between breastfeeding and sleep may influence their decision to terminate breastfeeding. In our systematic review, we focused on mapping the relationship between infant feeding method and total sleep time (TST), number of nocturnal awakenings, awakenings after sleep onset (WASO) of mothers and infants and sleep quality of mothers. We searched four databases according to selected keywords and inclusion criteria - articles published in peer-reviewed journals between 2012 and 2022; English language; a sample consisting of mothers, infants, or both (without psychiatric and health problems); a comparison of the sleep quality of breastfed and formula-fed children or breastfeeding and formula-fed mothers. We read 260 full texts of selected articles. A total of 35 articles were included in this review. Due to significant heterogeneity, meta-analysis was not possible to accomplish. The results are processed according to narrative synthesis. Most studies agree that breastfed infants wake up more often at night. Total sleep time and time spent awake during the night (WASO) did not differ between breastfed and non-breastfed infants. We observed identical results in sleep variables among mothers. Additionally, there was no difference in maternal sleep quality. The synthesis revealed that the results may have differed due to using subjective, objective methods or the infant's age. It is important to remember that night waking is a more complex concept. Infants wake for many reasons, not just due to breastfeeding. The narrative synthesis indicated that the chosen study design, measurement method, the variables, and the infant's age could influence outcomes. In addition, other variables appeared that may affect the entire process. Therefore, we recommend that attention be paid to this in future studies.

喂养方式是否会影响婴儿和母亲的睡眠质量?系统回顾
母乳喂养对母亲和婴儿都有很多好处。尽管如此,许多妇女过早地停止母乳喂养婴儿。母乳喂养与睡眠之间的关联可能会影响她们终止母乳喂养的决定。在我们的系统综述中,我们重点研究了婴儿喂养方式与母亲和婴儿的总睡眠时间(TST)、夜间醒来次数、睡眠后醒来次数(WASO)和母亲睡眠质量之间的关系。我们根据选定的关键词和纳入标准检索了四个数据库——2012年至2022年在同行评议期刊上发表的文章;英语语言;由母亲、婴儿或两者组成的样本(没有精神和健康问题);母乳喂养和配方奶喂养的儿童或母乳喂养和配方奶喂养的母亲的睡眠质量比较。我们阅读了260篇精选文章的全文。本综述共纳入35篇文章。由于存在显著的异质性,meta分析无法完成。根据叙事综合对结果进行处理。大多数研究都认为,母乳喂养的婴儿在晚上醒来的次数更多。总睡眠时间和夜间清醒时间(WASO)在母乳喂养和非母乳喂养的婴儿之间没有差异。我们在母亲的睡眠变量中观察到相同的结果。此外,产妇的睡眠质量也没有差异。综合结果显示,由于使用主观、客观方法或婴儿的年龄,结果可能会有所不同。重要的是要记住,夜间醒来是一个更复杂的概念。婴儿醒来的原因有很多,不仅仅是因为母乳喂养。叙述性综合表明,所选择的研究设计、测量方法、变量和婴儿的年龄可能影响结果。此外,还出现了其他可能影响整个过程的变量。因此,我们建议在今后的研究中予以重视。
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来源期刊
Infant Behavior & Development
Infant Behavior & Development PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
4.10
自引率
4.80%
发文量
94
期刊介绍: Infant Behavior & Development publishes empirical (fundamental and clinical), theoretical, methodological and review papers. Brief reports dealing with behavioral development during infancy (up to 3 years) will also be considered. Papers of an inter- and multidisciplinary nature, for example neuroscience, non-linear dynamics and modelling approaches, are particularly encouraged. Areas covered by the journal include cognitive development, emotional development, perception, perception-action coupling, motor development and socialisation.
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