Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery

Mi-Eun Kim; Myung-Haeng Hur

doi:10.4069/kjwhn.2014.20.4.266

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Kim and Hur: Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery

Original Article

Korean Journal of Women Health Nursing 2014; 20(4): 266-276.

Published online: 31 December 2014

DOI: https://doi.org/10.4069/kjwhn.2014.20.4.266

Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery

Mi-Eun Kim¹, Myung-Haeng Hur²

¹Eulji University Hospital, Daejeon, Korea.

²College of Nursing, Eulji University, Daejeon, Korea.

Corresponding author: Hur, Myung-Haeng. College of Nursing, Eulji University, 143-5 Yongdu-dong, Jung-gu, Daejeon 301-746, Korea. Tel: +82-42-259-1714, Fax: +82-42-259-1709, mhhur@eulji.ac.kr

Received 19 October 2014 Revised 9 December 2014 Accepted 15 December 2014

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was correlation study to identify the factors influencing sleep quality, fatigue, and postnatal depression in mothers who have given birth during the past 6 months.

Methods

The study was conducted using a survey with questionnaires to 329 mothers who visited E University Medical Center, or three local clinics located in D city, between August and October 2013. Collected data were analyzed using the SPSS/WIN 20.0 program.

Results

Out of 329 subjects, 18.2% showed that they had mild postnatal depression whereas 24.3% had severe postnatal depression. Accordingly, 42.5% reported having postnatal depression. Postnatal depression had a significant correlation with sleep hours after childbirth (r=-.16, p=.003), spousal support (r=-.28, p<.001), sleep quality (r=-.35, p< .001), physical fatigue (r=.66, p<.001), psychological fatigue (r=.69, p<.001), and neurosensory fatigue (r=.56, p< .001). Factors influencing postnatal depression include psychological fatigue, sleep quality, number of child births, and neurosensory fatigue, and these accounted for 53% of postnatal depression.

Conclusion

Results indicate that factors influencing postnatal depression involve psychological fatigue, sleep quality, number of child births, and neurosensory fatigue. Therefore for nursing intervention for postpartum mothers, it is necessary to assess the level of depression, fatigue, and sleep quality, and to provide interventions to relieve depression.

Keywords: Postpartum period, Sleep, Fatigue, Postpartum depression

Figures and Tables

Table 1

General · Obstetric Characteristics of Subjects (N=329)

BMI=body mass index.

Table 2

Sleep Quality, Fatigue, and Postpartum Depression by Subject's Characteristics (N=329)

BMI=body mass index; ^†Mann whitney U-test.

Table 3

Relationships among Subject's Characteristics, Sleep Quality, Fatigue, Spousal Support, and Postpartum Depression (N=329)

Table 4

Factors Influencing Postpartum Depression (N=327)

Notes

This manuscript is based on a part of the first author's master's thesis from Eulji University.

Summary Statement

▪ What is already known about this topic?

Postpartum depression may be expressed for various reasons. Despite the higher prevalence of postpartum depression in Korea compared with other countries, nursing and health activities for management of depression in mothers after giving birth hare not satisfactory.

▪ What this paper adds?

The rate of postpartum depression was 42.5% in this study. Factors influencing postnatal depression include psychological fatigue, sleep quality, number of child births, and neurosensory fatigue.

▪ Implications for practice, education and/or policy

Considering the number of deliveries a woman has had, it is necessary for health care providers and special national institutes to assess the degree of depression of those mothers and to prepare assessment and intervention regarding fatigue and quality of life which influence postpartum depression.

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