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. 2020 Feb/Mar;41(2):104-116.
doi: 10.1097/DBP.0000000000000733.

Profiles and Predictors of Infant Sleep Problems Across the First Year

Fallon Cook  1 , Laura Conway  1 , Deirdre Gartland  1 , Rebecca Giallo  1   2   3 , Elizabeth Keys  4 , Stephanie Brown  1   5
Affiliations

Profiles and Predictors of Infant Sleep Problems Across the First Year

Fallon Cook et al. J Dev Behav Pediatr. 2020 Feb/Mar.

Abstract

Objective: To identify profiles and predictors of maternal-reported infant sleep problems across the first postnatal year.

Methods: Survey data examining maternal mental and physical health, intimate partner violence (IPV), and infant sleep problems and night waking were gathered from a cohort of 1,460 nulliparous women at 15 weeks' gestation and when their infants were 3, 6, 9, and 12 months old.

Results: Latent class analysis revealed 5 profiles of infant sleep problems, including those who had few problems (24.7%), persistent moderate problems (27.3%), increased problems at 6 months (10.8%), increased problems at 9 months (17.8%), and persistent severe problems (19.4%). Persistent severe infant sleep problems were associated with prepartum and postpartum maternal depression (adjusted odds ratio [AOR] 2.13, 95% confidence interval [CI] 1.35-3.34, p < 0.01; AOR 2.52, 95% CI 1.64-3.87, p < 0.001, respectively), poorer prepartum and postpartum perception of health (adjusted mean difference [AMD] 23.48, 95% CI 24.9 to 22.1, p < 0.01; AMD 23.78, 95% CI 25.2 to 22.4, p < 0.001, respectively), increased postpartum anxiety (AOR 2.22, 95% CI 1.26-3.90, p < 0.01), and increased prevalence of IPV in the first year postpartum (AOR 1.86, 95% CI 1.20-2.87, p < 0.01).

Conclusion: Poorer prepartum and postpartum maternal mental and physical health, and IPV, were associated with maternal report of persistent severe infant sleep problems. Women experiencing prenatal physical and mental health difficulties may benefit from advice on managing infant sleep and settling. Health professionals working with unsettled infants must be equipped to enquire about and respond appropriately to disclosures of IPV.

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References

    1. Galland BC, Taylor BJ, Elder DE, et al. Normal sleep patterns in infants and children: a systematic review of observational studies. Sleep Med Rev. 2012;16:213–222.
    1. Davis KF, Parker KP, Montgomery GL. Sleep in infants and young children: Part one: normal sleep. J Pediatr Heal Care. 2004;18:65–71.
    1. Mindell JA, Kuhn B, Lewin DS, et al. Behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep. 2006;29:1263–1276.
    1. Bayer JK, Hiscock H, Hampton A, et al. Sleep problems in young infants and maternal mental and physical health. J Paediatr Child Health. 2007;43:66–73.
    1. Morris S, James-Roberts IS, Sleep J, et al. Economic evaluation of strategies for managing crying and sleeping problems. Arch Dis Child. 2001;84:15–19.

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