Maternal Fatigue in Breastfeeding Primiparae During the First Nine Weeks Postpartum

Journal of Human Lactation - Tập 14 Số 3 - Trang 219-229 - 1998
Karen Wambach1
1School of Nursing, University of Kansas, 3901 Rainbow Blvd., Kansas City, KS 66160-7502 USA.

Tóm tắt

This pilot study documented maternal fatigue levels and patterns among breastfeeding primiparae; relationships between maternal fatigue and select physiological, psychological, situational, and performance factors; and fatigue interference with activities of daily living. A convenience sample of 41 mothers completed self-report instruments measuring breastfeeding experiences, fatigue, sleep characteristics, perceived stress, depression, and infant temperament at 3 days, 3, 6, and 9 weeks postpartum. Positive moderate relationships were detected at all four times for: breastfeeding problem severity (r=.38-.66, p<.05), depression (r=.45-.7l,p<.O1), and perceived stress (r=.36-.70,p<.05). Maternal sleep disturbance (r=.40-.54,p<.05) and/or effectiveness (r=-.33--.45,p<.05) correlated with fatigue at each time period. Infant difficulty was positively and mildly related to fatigue at 6 and 9 weeks (r=.32-.43, p<.05). Maternal age correlated positively and moderately to fatigue (r =.31-.50,p<.05). Finally, the impact of fatigue on activities of daily living and maternal role activities was low and nonsignificant. Results suggest fatigue is moderately significant to breastfeeding primiparae in the early to late postpartum period.

Từ khóa


Tài liệu tham khảo

10.1097/00005721-197705000-00014

Harrison M, 1983, Can Public Health J, 74, 325

10.1097/00006199-198511000-00020

10.1016/0091-2182(88)90161-9

10.1016/S0266-6138(89)80005-1

Ruchala P, 1994, Matern Child Nurse J, 22, 83

7. Milligan R. Maternal fatigue during the first three months of the postpartum. Baltimore, MD: University of Maryland; 1989. Dissertation.

10.1016/S0897-1897(05)80056-4

10.1097/00012272-199306000-00007

10.1097/00006199-199303000-00006

10.1016/0165-1781(91)90027-M

12. Wambach KA. A test of a breastfeeding intention and outcome model. Tucson, AZ: University of Arizona; 1993. Dissertation.

10.1177/014662167700100306

10.2307/2136404

10.1002/nur.4770100307

10.2307/1128946

Lauwers J, Counseling the nursing mother: A reference handbook for health care providers and lay counselors, 2

Lawrence R., Breastfeeding: A guide for the medical profession, 4

Auerbach K., Lactation Consultant Series, 1

10.1177/089033449000600213

10.1016/0277-9536(94)90466-9

10.1016/0091-2182(95)00035-I

10.1097/00006199-199003000-00002

Thông tin
Thông tin xuất bản

Journal of Human Lactation

Tập 14 Số 3

219-229

Thông tin tác giả