A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

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dc.citation.issue1
dc.citation.volume22
dc.contributor.authorLadyman C
dc.contributor.authorSweeney B
dc.contributor.authorSharkey K
dc.contributor.authorBei B
dc.contributor.authorWright T
dc.contributor.authorMooney H
dc.contributor.authorHuthwaite M
dc.contributor.authorCunningham C
dc.contributor.authorFirestone R
dc.contributor.authorSignal TL
dc.coverage.spatialEngland
dc.date.accessioned2023-06-23T00:59:15Z
dc.date.available2022-08-23
dc.date.available2022-06-15
dc.date.available2023-06-23T00:59:15Z
dc.date.issued2022-12
dc.description© The Author(s) 2022
dc.description.abstractBACKGROUND: A woman's vulnerability to sleep disruption and mood disturbance is heightened during the perinatal period and there is a strong bidirectional relationship between them. Both sleep disruption and mood disturbance can result in significant adverse outcomes for women and their infant. Thus, supporting and improving sleep in the perinatal period is not only an important outcome in and of itself, but also a pathway through which future mental health outcomes may be altered. METHODS: Using scoping review methodology, we investigated the nature, extent and characteristics of intervention studies conducted during the perinatal period (pregnancy to one-year post-birth) that reported on both maternal sleep and maternal mental health. Numerical and descriptive results are presented on the types of studies, settings, sample characteristics, intervention design (including timeframes, facilitation and delivery), sleep and mood measures and findings. RESULTS: Thirty-seven perinatal interventions were identified and further described according to their primary focus (psychological (n = 9), educational (n = 15), lifestyle (n = 10), chronotherapeutic (n = 3)). Most studies were conducted in developed Western countries and published in the last 9 years. The majority of study samples were women with existing sleep or mental health problems, and participants were predominantly well-educated, not socio-economically disadvantaged, in stable relationships, primiparous and of White race/ethnicity. Interventions were generally delivered across a relatively short period of time, in either the second trimester of pregnancy or the early postnatal period and used the Pittsburgh Sleep Quality Index (PSQI) to measure sleep and the Edinburgh Postnatal Depression Scale (EPDS) to measure mood. Retention rates were high (mean 89%) and where reported, interventions were well accepted by women. Cognitive Behavioural Therapies (CBT) and educational interventions were largely delivered by trained personnel in person, whereas other interventions were often self-delivered after initial explanation. CONCLUSIONS: Future perinatal interventions should consider spanning the perinatal period and using a stepped-care model. Women may be better supported by providing access to a range of information, services and treatment specific to their needs and maternal stage. The development of these interventions must involve and consider the needs of women experiencing disadvantage who are predominantly affected by poor sleep health and poor mental health.
dc.description.publication-statusPublished online
dc.format.extent659 - ?
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/35999501
dc.identifier10.1186/s12884-022-04844-3
dc.identifier.citationBMC Pregnancy Childbirth, 2022, 22 (1), pp. 659 - ?
dc.identifier.doi10.1186/s12884-022-04844-3
dc.identifier.eissn1471-2393
dc.identifier.elements-id455473
dc.identifier.harvestedMassey_Dark
dc.identifier.urihttps://hdl.handle.net/10179/18346
dc.languageeng
dc.publisherBioMed Central Ltd
dc.relation.isPartOfBMC Pregnancy Childbirth
dc.subjectHealth inequities
dc.subjectIntervention
dc.subjectMental health
dc.subjectMood
dc.subjectPerinatal
dc.subjectPostnatal
dc.subjectPostpartum
dc.subjectPregnancy
dc.subjectSleep
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant
dc.subjectMale
dc.subjectMaternal Health
dc.subjectMental Health
dc.subjectPregnancy
dc.subjectPsychiatric Status Rating Scales
dc.subjectSleep
dc.subjectSleep Initiation and Maintenance Disorders
dc.subject.anzsrc1110 Nursing
dc.subject.anzsrc1114 Paediatrics and Reproductive Medicine
dc.subject.anzsrc1117 Public Health and Health Services
dc.titleA scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/Research Centre for Hauora and Health
pubs.organisational-group/Massey University/College of Health/School of Health Science
pubs.organisational-group/Massey University/College of Health/School of Social Work
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