母親產後憂鬱與母育信心、睡眠品質及嬰兒睡眠品質之相關性

Background: Postpartum depression not only affects the mother's physical and mental health, but also affects the sleep and growth of newborns. However, related research is limited. Aims: The study aims to explore the relationship between mothers' postpartum depression and maternal confidence, sleep quality and infants' sleep quality. Methods: This is a cross-sectional study design using purpose sampling. Participants were recruited from the pediatric outpatient department of a regional hospital in Taipei City. Instruments included Edinburgh Postpartum Depression Scale, Pittsburgh Sleep Quality Scale, Maternal Confidence Scale, and Infant Sleep Scale. Data analysis used chi-square test and independent sample t-test to detect the influence of different maternal confidence, sleep quality and infant's sleep on postpartum depression. Results: A total of 203 cases participated. 13.3% of mothers had postpartum depression, and mothers who had postpartum depression had their maternal confidence (X^2 = 10.0 , p ＜ .002). Sleep quality (X^2 = -4.53, p ＜ .001) was significantly lower than that of mothers without postpartum depression. Infants with sleep problems, including the number of times the baby wakes up at night (t = -3.29, p = .001), sleep latency (t = -2.84, p = .005) and total time to wake up at night (t = -3.38, p = .001) were significantly higher than those of mothers without postpartum depression. Conclusion: Medical staff should pay attention to the mother's postpartum depression and its impact on maternal confidence, sleep quality and infant sleep problems, and further provide intervention to improve the health of the postpartum mother and infant.