Sleep
Conditions
Keywords
Postpartum sleep
Brief summary
Sleep is critical to mental and physical health following childbirth. However, patients who are hospitalized for labor and delivery may be admitted for days with significant impacts on sleep levels. Little is known about sleep and activity levels in inpatients during nighttime and daytime following childbirth and how this may affect their mental and physical health and wellbeing. If abnormalities are identified, targeted interventions may be possible to optimize recovery following delivery.
Interventions
PROCEDUREplanned or unplanned Cesarean, operative, or non operative delivery
All types of delivery
Sponsors
Stanford University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* over 18 years old * live pregnancy * Single or multiple gestation * all gestational ages
Exclusion criteria
* Weekend delivery * admitted to critical care * unable to speak or understand English * known sleeping disorder * opioid requirement prior to admission * long term steroids use * significant autoimmune or neurological disease * significant psychiatric or neurodevelopment disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of inpatient postpartum sleep using actigraphy | During inpatient stay (up to 7 days) | Participants will wear an acitgraphy watch during their inpatient stay to measure sleep. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Association between inpatient actigraphy data and patient demographic, medical, obstetric, psychiatric, neonatal and anesthetic factors | During inpatient stay and outpatient follow up (up to 7 days) | Participants will wear an acitgraphy watch during their inpatient stay to measure physical activity and sleep. |
| Association between outpatient sleep data with patient demographic, medical, obstetric, psychiatric, neonatal and anesthetic factors | 6 and 12 weeks | Participants will be interviewed at 6 and 12 weeks with PROM questions and sleep diaries to assess for association with demographic, medical obstetric, psychiatric neonatal and anaesthetic factors. |
| Association between actigraphy data with inpatient and outpatient postpartum Patient Reported Outcome Measures (PROMs) | Day 1-7, 6 and 12 weeks | Measurement of postpartum actigraphy data to associate with patient reported outcome measures (PROM) (ObsQoR-10, Edinburgh Postpartum Depression Score, WHO-QOL-BREF and Bergen Insomnia Scale Score) given by face to face then remote interview |
| Determine population norms of objective and subjective sleep measures in the postpartum population. | Day 1-7, 6 and 12 weeks | Participants will wear an acitgraphy watch during their inpatient stay to measure physical activity and sleep. PROM survey data during inpatient day 1-7 and outpatient 6 and 12 week interview. |
| Association between inpatient sleep and physical activity, PROMs and peripartum course with longer term outpatient sleep measures | Day 1-7, 6 and 12 weeks | Participants will wear an acitgraphy watch during their inpatient stay to measure physical activity and sleep. PROM survey data during inpatient day 1-7 and outpatient 6 and 12 week interview. |
| Association between objective (artigraphy) and subjective sleep assessment using diaries and PROMs | Day 1-7, 6 and 12 weeks | Participants will wear an acitgraphy watch during their inpatient stay to measure physical activity and sleep. PROM survey data during inpatient day 1-7 and outpatient 6- 12 week interview. |
Countries
United States
Outcome results
None listed