Abstract

Session presented on: Thursday, July 25, 2013:

Purpose: To add to current knowledge about sleep and breastfeeding behavior of new mothers in order to promote exclusive breastfeeding in the first month postpartum, a vulnerable time frame for infant formula supplementation and early breastfeeding cessation.

Objective: The objective of this study was to describe and compare the sleep of women who exclusively breastfed at night to those who used formula in the first month postpartum. Methods: Both objective and subjective measures of sleep were obtained using actigraphy, diary, and self-report data from a predominantly low-income and ethnically diverse sample of 120 first-time mothers. Measures were collected in the last month of pregnancy and at one month postpartum. Feeding diaries were used to group mothers by nighttime infant feeding type.

Results: Mothers who used at least some formula at night (n=54) and those who used breastmilk exclusively (n=66) had similar sleep patterns in late pregnancy. However, at one month postpartum, there was a significant group difference in nocturnal sleep as measured by actigraphy. Total nighttime sleep was 386-66 minutes for the exclusive breastfeeding group and 356-67 minutes for the formula group. The groups did not differ with respect to daytime sleep, wake after sleep onset, or subjective sleep disturbance at one month postpartum.

Conclusion: Exclusive breastfeeding women averaged 30 minutes more nocturnal sleep than women who used formula at night. New mothers should be encouraged to breastfeed exclusively since breastfeeding may promote sleep during postpartum recovery.

Author Details

Therese Doan, RN, PhD, IBCLC; Kathryn A. Lee, RN, PhD, CBSM, FAAN

Sigma Membership

Unknown

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Maternal, Breastfeeding, Sleep

Conference Name

24th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Prague, Czech Republic

Conference Year

2013

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Breastfeeding behavior and sleep of new mothers in a predominantly low-income and ethnically diverse sample

Prague, Czech Republic

Session presented on: Thursday, July 25, 2013:

Purpose: To add to current knowledge about sleep and breastfeeding behavior of new mothers in order to promote exclusive breastfeeding in the first month postpartum, a vulnerable time frame for infant formula supplementation and early breastfeeding cessation.

Objective: The objective of this study was to describe and compare the sleep of women who exclusively breastfed at night to those who used formula in the first month postpartum. Methods: Both objective and subjective measures of sleep were obtained using actigraphy, diary, and self-report data from a predominantly low-income and ethnically diverse sample of 120 first-time mothers. Measures were collected in the last month of pregnancy and at one month postpartum. Feeding diaries were used to group mothers by nighttime infant feeding type.

Results: Mothers who used at least some formula at night (n=54) and those who used breastmilk exclusively (n=66) had similar sleep patterns in late pregnancy. However, at one month postpartum, there was a significant group difference in nocturnal sleep as measured by actigraphy. Total nighttime sleep was 386-66 minutes for the exclusive breastfeeding group and 356-67 minutes for the formula group. The groups did not differ with respect to daytime sleep, wake after sleep onset, or subjective sleep disturbance at one month postpartum.

Conclusion: Exclusive breastfeeding women averaged 30 minutes more nocturnal sleep than women who used formula at night. New mothers should be encouraged to breastfeed exclusively since breastfeeding may promote sleep during postpartum recovery.