Utilizing Sleep Education to Reduce Postpartum Mood Disorder in New Mothers
DOI:
https://doi.org/10.26911/thejmch.2023.08.05.04Abstract
Background: Infant sleep biology and maternal intuition challenge the idea of behavioral sleep training being authoritative knowledge in Western society. Behavioral sleep training may increase stress levels in postpartum mothers who feel conflicted and wish to use alternative methods. The aim of this study was to determine whether having access to infant sleep education improves maternal mental health.
Subjects and Method: A quasi-experimental pretest-posttest design using web-based surveys was used to assess the impact of a three-week virtual infant sleep education program on the dependent variables of depression outcomes and consolidated infant sleep. The target population were postpartum women between the age of 18 and 50. Sample size was 18 subjects were recruited through convenience and criterion sampling. Pre-tests and post-tests included nominal questions, Likert scale items, and the Edinburg Postnatal Depression Scale (EPDS). Analysis included difference analyses, Shaprio-Wilk normality checks, Spearman’s rho and Bayes factor bounds.
Results: The average improvement on the EPDS was a decrease of 1.89 points, 95% CI= -∞ to 0.11; p= 0.116), VS-MPR = 1.47, with the highest magnitude of improvements in domains regarding feelings of failure if their baby does not sleep through the night (r= 0.78; 95% CI= 0.40 to ∞; p= 0.012, desire to sleep train (r= 0.50; 95% CI = -0.10 to ∞; p= 0.091) and decreased feelings of self-blame (r= 0.34; 95% CI= -0.13 to ∞; p = 0.080).
Conclusion: Sleep education can be beneficial in reducing stress related to infant sleep and feelings of failure as a parent in postpartum women.
Keywords: behavioral training, maternal mental health, sleep education, postpartum depression.
Correspondence: Virginia Osorio. Shenandoah University, 1460 University Drive, Winchester, VA 22601. vosorio-19@su.edu.
References
American Occupational Therapy Association (2014). Occupational therapy practice framework: Domain and process. Am J Occup Ther. 68(3): 1-48. http://dx.doi.org/10.5014/ajot.2014.68200
Anokye R, Acheampong E, Budu-Ainooson A, Obeng EI, Akwasi AG (2018). Prevalence of postpartum depression and interventions utilized for its management. Ann of Gen Psychiatry, 17. 18. https://doi.org/10.1186/s1299101801880
Bamm EL, Rosenbaum P (2008). Family-centered theory: origins, development, barriers, and supports implementation in rehabilitation medicine. Arch Phys Med Rehabil. 89(8): 1618–1624. https://doi.org/10.1016/j. apmr.2007.12.034
Benjamin D, Berger J (2019). Three recommendations for improving the use of p-values. The American Statistician, 73(10): 186-191. https://doi.org/10.1080/00031305.2019. 1543135
Hauck YL, Hall WA, Dhaliwal SS, Bennett E, Wells G (2012), The effectiveness of an early parenting intervention for mothers with infants with sleep and settling concerns: a prospective non-equivalent before after design. J Clin Nurs, 21, 52-62. https://doi.org/10.1111/j.1365-2702.2011.03734.x
Henshaw C (2003). Mood disturbance in the early puerperium: a review. Arch Womens Ment Health, 6, pp. S33-S42.
Hiscock H, Fisher J (2015). Sleeping like a baby? Infant sleep: impact on caregivers and current controversies. J Pae-diatric Child Health, 51(4): 361–364. https://doi.org/10. 1111/jpc.12752
Hiscock H, Cook F, Bayer J, Le HN, Mensah F, Cann W, Symon B, et al. (2014). Preventing early infant sleep and crying problems and postnatal depression: A Randomized Trial. Pediatr. 133(2): e346-354. https://doi.org/10.1542/ peds.2013-1886
Paavonen E, Saarenpaa-Heikkila O, Morales-Munoz I, Virta M, Hakala N, Polkki P, Kylliainen A, et al. (2020). Normal sleep development in infants: Findings from two large birth cohorts. Sleep Med, 69, 145-154. https://doi.org/10.1016 /j.sleep.2020.01.009
Pennestric M, Laganiere C, Bouvetter-Turcot A, Pokhvisneva I, Steiner M, Mea-ney MJ, Gaudreau H (2018). Uninte-rrupted infant sleep, development, and maternal mood. Pediatr. 142(6): 1-8. https://doi.org/10.1542/peds.2017-4330
Podvey M (2018). Maternal health and occupational therapy: A good fit. SIS Quarterly Practice Connections. 3(2): 17-19.
Rosier JG, Cassels T (2021). From “crying expands the lungs” to “you’re going to spoil that baby”: how the cry-it-out method became authoritative know-ledge. J Fam Issues. 42(7):1516–1535. https://doi.org/10.1177/0192513X209498 91
Škodová Z, Kelčíková S, Maskálová E, Mazúchová L (2022). Infant sleep and temperament characteristics in association with maternal postpartum depression. Midwifery, 105. https://doi.org/10.1016/j.midw.2021.103232
Vismara L, Tully KP, Stuebe AM, Verbiest SB (2017). Perspectives on perinatal stressful and traumatic experiences. Eur J Trauma Dissociation, 1(2), 111–120. https://doi.org/10.1016/j.ejtd.2017.03.006