|dc.description.abstract||Maternal sleep is problematic for many mothers both during pregnancy as well as postpartum and is highly associated with poor mood. This thesis provides a thorough examination of this problem as well as understanding the best methods for improving sleep and mood for new mothers.
A meta-analysis was conducted to provide a quantitative analysis of nine randomised controlled trials investigating sleep-focussed interventions during pregnancy or in the first 12 months postpartum. Results indicated that interventions improve infant total sleep time but not the frequency of night-wakings. Improvements in maternal mood were also identified; however, these changes were small and possibly due to publication bias.
A cluster randomised controlled trial administered during the third trimester was conducted to investigate the conditions under which a sleep focussed psychoeducation intervention is effective in improving maternal sleep and mood in the postpartum period. Two hundred and fifteen expectant first time mothers were randomised to receive either the program or a set of booklets with information about sleep. They completed questionnaires at baseline, six weeks, four months and ten months postpartum. A subgroup of participants wore actiwatches for one week during their third trimester and at four months postpartum.
Results indicated that in all participants, sleep and mood worsened in the first six weeks after delivery. By four months postpartum, sleep quality and insomnia symptoms in the intervention group were significantly better than in the control group. Group differences in sleepiness, fatigue and mood were not found at any time. By ten months postpartum, differences between groups were no longer significant. These results indicate a promising role for prenatal sleep psychoeducation in hastening the return of improved maternal sleep as indicated by sleep quality and insomnia symptoms.||en_AU|
|dc.publisher||University of Sydney||en_AU|
|dc.publisher||Faculty of Science||en_AU|
|dc.publisher||School of Psychology||en_AU|
|dc.rights||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.||en_AU|
|dc.title||Sleep focussed interventions to improve sleep and mood in new mothers||en_AU|
|dc.type.pubtype||Doctor of Philosophy Ph.D.||en_AU|
|dc.description.disclaimer||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.||en_AU|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|