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Factors associated with maternal postpartum fatigue: An observational study

BMJ Open Aug 01, 2019

Henderson J, et al. - A random sample of 10,000 women selected by the Office for National Statistics using birth registration records were taken by the researchers in order to evaluate the prevalence of postpartum fatigue at 10 days, 1 month and 3 months, and to explain the sociodemographic and clinical features of women with fatigue and the correlations with infant features, maternal-infant attachment, and partner and midwifery support. Declining but substantial proportions of women ie, 38.8%, 27.1% and 11.4% at 10 days, 1 month and 3 months, experienced fatigue/severe tiredness, respectively. These numbers differed significantly by maternal age, level of deprivation, education, and parity. Women reporting depression, anxiety, sleep problems, especially those breastfeeding were at significantly heightened risk. A significantly more negative language was practiced by these women to define their babies, and they noticed their baby as more difficult than average. Women with postpartum fatigue had higher partner support, although they were significantly less prone to report visiting the midwife as much as they wanted. Hence, postpartum fatigue was not inevitable or universal, but early in the postnatal period, it impacted a plentiful proportion of women. Age and parity were the predictors, yet, practical help and support from partners and midwives may be protective factors.
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