Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs
Breastfeeding rates fall short of public health goals, but barriers are poorly understood. We examined whether excessive sleepiness during pregnancy and the postpartum period was associated with breastfeeding intentions, attitudes, initiation, and continuation in a tobacco-exposed sample participati...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/15/15/3435 |
| _version_ | 1797586144229064704 |
|---|---|
| author | Tayla von Ash Anna Alikhani Katherine M. Sharkey Paola Solano Melanie Morales Aquino Patricia Markham Risica |
| author_facet | Tayla von Ash Anna Alikhani Katherine M. Sharkey Paola Solano Melanie Morales Aquino Patricia Markham Risica |
| author_sort | Tayla von Ash |
| collection | DOAJ |
| description | Breastfeeding rates fall short of public health goals, but barriers are poorly understood. We examined whether excessive sleepiness during pregnancy and the postpartum period was associated with breastfeeding intentions, attitudes, initiation, and continuation in a tobacco-exposed sample participating in a randomized controlled trial to reduce smoke exposure (n = 399). We used the Epworth Sleepiness Scale (ESS) to examine associations between excessive sleepiness in early (12–16 weeks gestation) and late (32 weeks gestation) pregnancy and at 6 months postpartum, with breastfeeding attitudes using the Mitra index, intentions, initiation, and continuation, as well as other infant feeding practices using the Infant Feeding Questionnaire. Logistic regression models adjusted for age, racial/ethnic identity, parity, marital status, and maternal education showed that excessive sleepiness in late pregnancy was associated with less favorable attitudes toward breastfeeding. In addition, in unadjusted models, excessive sleepiness at 6 months postpartum was associated with less of a tendency to use feeding to calm a fussy infant. Excessive sleepiness was not associated with intent, initiation, or continuation of breastfeeding. Assessing excessive sleepiness in late pregnancy may assist in identifying individuals with negative attitudes to breastfeeding and lead to novel approaches to promoting breastfeeding in populations with lower breastfeeding rates. |
| first_indexed | 2024-03-11T00:19:09Z |
| format | Article |
| id | doaj.art-220570cbb88249148cdb934a195c0621 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T00:19:09Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-220570cbb88249148cdb934a195c06212023-11-18T23:24:31ZengMDPI AGNutrients2072-66432023-08-011515343510.3390/nu15153435Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and BeliefsTayla von Ash0Anna Alikhani1Katherine M. Sharkey2Paola Solano3Melanie Morales Aquino4Patricia Markham Risica5Department of Behavioral and Social Science, Brown School of Public Health, Providence, RI 02903, USADepartment of Behavioral and Social Science, Brown School of Public Health, Providence, RI 02903, USADepartment of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, RI 02906, USABrown University, Providence, RI 02912, USABrown University, Providence, RI 02912, USADepartment of Behavioral and Social Science, Brown School of Public Health, Providence, RI 02903, USABreastfeeding rates fall short of public health goals, but barriers are poorly understood. We examined whether excessive sleepiness during pregnancy and the postpartum period was associated with breastfeeding intentions, attitudes, initiation, and continuation in a tobacco-exposed sample participating in a randomized controlled trial to reduce smoke exposure (n = 399). We used the Epworth Sleepiness Scale (ESS) to examine associations between excessive sleepiness in early (12–16 weeks gestation) and late (32 weeks gestation) pregnancy and at 6 months postpartum, with breastfeeding attitudes using the Mitra index, intentions, initiation, and continuation, as well as other infant feeding practices using the Infant Feeding Questionnaire. Logistic regression models adjusted for age, racial/ethnic identity, parity, marital status, and maternal education showed that excessive sleepiness in late pregnancy was associated with less favorable attitudes toward breastfeeding. In addition, in unadjusted models, excessive sleepiness at 6 months postpartum was associated with less of a tendency to use feeding to calm a fussy infant. Excessive sleepiness was not associated with intent, initiation, or continuation of breastfeeding. Assessing excessive sleepiness in late pregnancy may assist in identifying individuals with negative attitudes to breastfeeding and lead to novel approaches to promoting breastfeeding in populations with lower breastfeeding rates.https://www.mdpi.com/2072-6643/15/15/3435sleepsleepinessbreastfeedingbreastfeeding intentionsbreastfeeding attitudesbreastfeeding behaviors |
| spellingShingle | Tayla von Ash Anna Alikhani Katherine M. Sharkey Paola Solano Melanie Morales Aquino Patricia Markham Risica Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs Nutrients sleep sleepiness breastfeeding breastfeeding intentions breastfeeding attitudes breastfeeding behaviors |
| title | Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs |
| title_full | Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs |
| title_fullStr | Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs |
| title_full_unstemmed | Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs |
| title_short | Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs |
| title_sort | associations between perinatal sleepiness and breastfeeding intentions and attitudes and infant feeding behaviors and beliefs |
| topic | sleep sleepiness breastfeeding breastfeeding intentions breastfeeding attitudes breastfeeding behaviors |
| url | https://www.mdpi.com/2072-6643/15/15/3435 |
| work_keys_str_mv | AT taylavonash associationsbetweenperinatalsleepinessandbreastfeedingintentionsandattitudesandinfantfeedingbehaviorsandbeliefs AT annaalikhani associationsbetweenperinatalsleepinessandbreastfeedingintentionsandattitudesandinfantfeedingbehaviorsandbeliefs AT katherinemsharkey associationsbetweenperinatalsleepinessandbreastfeedingintentionsandattitudesandinfantfeedingbehaviorsandbeliefs AT paolasolano associationsbetweenperinatalsleepinessandbreastfeedingintentionsandattitudesandinfantfeedingbehaviorsandbeliefs AT melaniemoralesaquino associationsbetweenperinatalsleepinessandbreastfeedingintentionsandattitudesandinfantfeedingbehaviorsandbeliefs AT patriciamarkhamrisica associationsbetweenperinatalsleepinessandbreastfeedingintentionsandattitudesandinfantfeedingbehaviorsandbeliefs |