| Abstract [eng] |
Postpartum depression is one of the most common complications of pregnancy and childbirth, affecting 10-15% of women worldwide. After childbirth, women experience various sleep changes: insomnia, sleep fragmentation, sleep deprivation and daytime sleepiness. Changes in sleep can have significant effects on maternal health, including an increased risk of postpartum depression. Aim of the study: to examine the association between symptoms of postpartum depression and postpartum sleep quality. Methods: women who gave birth in the period of 1-12 months completed an anonymous online questionnaire. Sociodemographic, psychosocial and medical characteristics were collected, symptoms of postpartum depression were assessed using the Edinburgh Postnatal Depression Scale, sleep quality was assessed using the Pittsburgh Sleep Quality Index. Results: 623 women participated in the study. The prevalence of postpartum depression symptoms was 41,4%, good sleep quality - 27,0% and poor sleep quality - 73,0%. Being <25 years of age and unplanned pregnancy were significantly related to depressive symptoms. Giving birth for the first time was significantly related to poor sleep quality. Not getting enough help with caring for a baby and previous history of depression, mania episodes, anxiety disorder and panic attacks were significantly related to symptoms of depression and poor sleep quality. Depressive symptoms were significantly more common in the poor sleep quality group compared to the good sleep quality group: 89,1% and 10,9%, respectively. The risk of developing depressive symptoms with poor sleep quality was 3,03 times higher than those with good sleep quality. A significant positive correlation was found between the Edinburgh Postpartum Depression Scale and the Pittsburgh Sleep Quality Index scores. Conclusions: this study revealed a high prevalence of postpartum depression symptoms, most women were found to have poor sleep quality. Risk factors for depressive symptoms and for poor sleep quality were assessed. Women with poor sleep quality were found to be at greater risk of developing depressive symptoms. Keywords: postpartum depression, sleep quality, sleep in the postpartum period. |
