Investigation of sleep quality and excessive daytime sleepiness in puerperium women
Murat Eren Özen1, Mehmet Hamdi Örüm2,Aysun Kalenderoğlu2, Talip Karaçor3, İbrahim Hakan Bucak4, Murad Atmaca5
1Özel Adana Hastanesi, Psikiyatri Bölümü, Adana, Türkiye
2Adıyaman Üniversitesi Tıp Fakültesi, Psikiyatri Anabilim Dalı, Adıyaman, Türkiye
3Adıyaman Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Adıyaman, Türkiye
4Adıyaman Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Adıyaman, Türkiye
5Fırat Üniversitesi Tıp Fakültesi, Psikiyatri Anabilim Dalı, Elazığ, Türkiye
Keywords: Postpartum; puerperium; sleep processes; sleep
Objectives: This study aims to examine the sleep quality and daytime sleepiness patterns of puerperium women.
Patients and methods: Between March 30, 2018 and May 30, 2018, a total of 240 women participants (mean age 26.17±0.89 years; range, 18 to 40 years) with sleep disorders were included in this study. All participants were divided into three groups including postpartum women (n=80), non-postpartum women (n=80), and women who never gave birth (n=80). In this study, the Sociodemographic Characteristics Form, Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) were used.
Results: Of puerperium women, 82.5% (95% CI, 72.66-92.34) had poor sleep quality and 26.25% (95% CI, 10.78-41.72) had excessive daytime sleepiness. There was a significant difference in the sleep quality and daytime sleepiness among the groups (p<0.05). Poor sleep quality was found to be higher in older puerperium women (27.6±5.27 years) compared to younger puerperium women (22.6±2.88 years) (p=0.026). The probability of poor sleep quality for puerperium women were 5.96-fold (95% CI, 1.78-20.12) higher than for women who never gave birth (p=0.003).
Conclusion: To the best of our knowledge, this study is the first study to evaluate the sleep quality among women in the postpartum period in Turkey. According to our study results, puerperium women and older puerperium women more suffer from excessive daytime sleepiness. In addition, poor sleep quality and excessive daytime sleepiness are more frequently seen in puerperium women, compared to non-puerperium women and women who never gave birth.