Sleep pattern gender differences and fragmentation in postpartum parents of twins.

Elizabeth G Damato, Christopher J Burant, Jennifer A Brubaker, Michael J Decker
Author Information
  1. Elizabeth G Damato: Case Western Reserve University, Frances Payne Bolton School of Nursing - Cleveland - Ohio -United States.
  2. Christopher J Burant: Case Western Reserve University, Frances Payne Bolton School of Nursing - Cleveland - Ohio -United States.
  3. Jennifer A Brubaker: Cleveland Clinic Foundation, General Pediatrics, Lorain Family Health Center - Cleveland - Ohio -United States.
  4. Michael J Decker: Case Western Reserve University, Department of Physiology & Biophysics - Cleveland - Ohio - United States.

Abstract

OBJECTIVE: Parents of newborn twins are at risk for both shortened sleep duration and sleep discontinuity. The purpose of this study was to characterize weekday and weekend sleep duration, sleep continuity, and awakenings in both mothers and fathers of newborn twins during the first 3 months at home.
MATERIAL AND METHODS: Sleep-wake parameters were assessed at two time points using self-report diaries and actigraphy in 75 families with newborn twins. To assess sleep on weekdays and weekends with minimal subject burden, actigraphy recordings of both parents commenced at 9:00 p.m. Saturday and terminated at 9:00 p.m. Tuesday.
RESULTS: Mean sleep duration over 24 hours for parents of twins ranged between 6.7 and 7.5 hours during the first 3 months postpartum and did not significantly differ on weekdays or weekends for mothers. Weekend sleep was more fragmented for fathers at both one month and three months with more awakenings, compared to weekday sleep. Mothers had more fragmented night sleep compared to fathers at one month. In contrast, at three months postpartum fathers had shorter total sleep time and night sleep time, but fewer night awakenings on weekdays than mothers. No differences were observed in weekend sleep duration or sleep patterns between mothers and fathers at three months.
DISCUSSION: Consolidated sleep periods for both parents averages three hours or less during the first three months postpartum and sleep for both parents is fragmented. In families with newborn twins, the extent of sleep disruption for mothers and fathers is similar.

Keywords

References

  1. Nat Sci Sleep. 2018 Nov 27;10:421-430 [PMID: 30568521]
  2. Sci Rep. 2016 Feb 22;6:21480 [PMID: 26900147]
  3. Matern Child Health J. 2015 Jun;19(6):1212-9 [PMID: 25374288]
  4. Ophthalmic Physiol Opt. 2014 Sep;34(5):502-8 [PMID: 24697967]
  5. Natl Vital Stat Rep. 2019 Nov;68(13):1-47 [PMID: 32501202]
  6. J Perinat Neonatal Nurs. 2013 Oct-Dec;27(4):335-44 [PMID: 24164816]
  7. Behav Res Methods. 2007 May;39(2):175-91 [PMID: 17695343]
  8. Arch Womens Ment Health. 2009 Aug;12(4):229-37 [PMID: 19396527]
  9. J Psychosom Res. 2010 Nov;69(5):467-73 [PMID: 20955866]
  10. Womens Health (Lond). 2019 Jan-Dec;15:1745506519844044 [PMID: 31035856]
  11. J Pediatr Health Care. 2014 Jul-Aug;28(4):313-21 [PMID: 24007974]
  12. J Adv Nurs. 1999 Jul;30(1):200-10 [PMID: 10403997]
  13. Biol Res Nurs. 2006 Oct;8(2):115-28 [PMID: 17003251]
  14. J Obstet Gynecol Neonatal Nurs. 2008 Nov-Dec;37(6):738-49 [PMID: 19012724]
  15. Dev Psychobiol. 2013 May;55(4):361-72 [PMID: 22553114]
  16. Neurosci Lett. 2001 Oct 12;312(1):55-7 [PMID: 11578844]
  17. Sleep. 2014 Jan 01;37(1):9-17 [PMID: 24470692]
  18. Monogr Soc Res Child Dev. 2015 Mar;80(1):107-24 [PMID: 25704738]
  19. Sleep. 2018 Feb 1;41(2): [PMID: 29267979]
  20. PLoS One. 2014 Jul 31;9(7):e103513 [PMID: 25078950]
  21. Res Nurs Health. 2012 Jun;35(3):314-23 [PMID: 22431157]
  22. Am J Mens Health. 2012 Jan;6(1):80-8 [PMID: 21965183]
  23. Sleep Med Clin. 2015 Mar;10(1):25-33 [PMID: 26055670]

Grants

  1. R15 NR009797/NINR NIH HHS

Word Cloud

Created with Highcharts 10.0.0sleeptwinsfathersmonthsmothersparentsthreenewborndurationpostpartumawakeningsfirsttimeweekdayshoursfragmentednightweekdayweekend3actigraphyfamiliesweekends9:00pm7onemonthcompareddifferencesSleepOBJECTIVE:ParentsriskshorteneddiscontinuitypurposestudycharacterizecontinuityhomeMATERIALANDMETHODS:Sleep-wakeparametersassessedtwopointsusingself-reportdiaries75assessminimalsubjectburdenrecordingscommencedSaturdayterminatedTuesdayRESULTS:Mean24ranged65significantlydifferWeekendMotherscontrastshortertotalfewerobservedpatternsDISCUSSION:ConsolidatedperiodsaverageslessextentdisruptionsimilarpatterngenderfragmentationMaternalChildHealthMultipleBirthOffspringPaternalBehaviorDeprivation

Similar Articles

Cited By