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Published on: August 8, 2019
Sleep pattern gender differences and fragmentation in postpartum parents of twins
Elizabeth G Damato1,2,3, Christopher J Burant1,4, Jennifer A Brubaker5
1Case Western Reserve University, Frances Payne Bolton School of Nursing - Cleveland - Ohio -United States.
Insights
New parents of twins experience significant sleep disruption, with fragmented sleep averaging three hours or less per consolidated period. Both mothers and fathers face similar levels of sleep loss in the first three months postpartum.
Area of Science:
- Perinatology
- Sleep Medicine
- Parenting Studies
Background:
- Parents of newborn twins face heightened risks of reduced sleep duration and fragmented sleep.
- Infant care, especially with multiples, presents unique challenges to parental sleep patterns.
Purpose of the Study:
- To characterize weekday vs. weekend sleep duration and continuity in mothers and fathers of newborn twins.
- To examine sleep fragmentation and awakenings during the first three months postpartum.
Main Methods:
- Utilized actigraphy and self-report diaries in 75 families with newborn twins.
- Collected sleep-wake data over a 72-hour period (Saturday 9 p.m. to Tuesday 9 p.m.) at two time points within the first three months postpartum.
Main Results:
- Mean sleep duration ranged from 6.7 to 7.5 hours, with no significant weekday/weekend differences for mothers.
- Fathers experienced more fragmented weekend sleep with increased awakenings at one and three months postpartum.
- Mothers had more fragmented night sleep than fathers at one month; at three months, fathers had shorter total sleep but fewer night awakenings on weekdays.
Conclusions:
- Consolidated sleep periods for both parents averaged three hours or less in the first three months postpartum.
- Parental sleep is fragmented, with mothers and fathers experiencing similar overall sleep disruption in twin-infant families.
Objective:
Parents of newborn twins are at risk for both shortened sleep duration and sleep discontinuity. The purpose of this study was to characterize weekday and weekend sleep duration, sleep continuity, and awakenings in both mothers and fathers of newborn twins during the first 3 months at home.
Material And Methods:
Sleep-wake parameters were assessed at two time points using self-report diaries and actigraphy in 75 families with newborn twins. To assess sleep on weekdays and weekends with minimal subject burden, actigraphy recordings of both parents commenced at 9:00 p.m. Saturday and terminated at 9:00 p.m. Tuesday.
Results:
Mean sleep duration over 24 hours for parents of twins ranged between 6.7 and 7.5 hours during the first 3 months postpartum and did not significantly differ on weekdays or weekends for mothers. Weekend sleep was more fragmented for fathers at both one month and three months with more awakenings, compared to weekday sleep. Mothers had more fragmented night sleep compared to fathers at one month. In contrast, at three months postpartum fathers had shorter total sleep time and night sleep time, but fewer night awakenings on weekdays than mothers. No differences were observed in weekend sleep duration or sleep patterns between mothers and fathers at three months.
Discussion:
Consolidated sleep periods for both parents averages three hours or less during the first three months postpartum and sleep for both parents is fragmented. In families with newborn twins, the extent of sleep disruption for mothers and fathers is similar.
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