BACKGROUND: Primigravida mothers are more apprehensive about their ability to breastfeed their neonate and may
have less condence about the breastfeeding ability. Very few studies have been done on the effect of sleep & fatigue on
breastfeeding efcacy in postpartum mothers, in India
OBJECTIVE: To study the correlation between sleep quality & breastfeeding efcacy, fatigue & breastfeeding efcacy, postpartum depression
& breastfeeding efcacy in primigravida lactating mothers.
MATERIALS AND METHOD: Hospital based cross sectional study was conducted at the tertiary care hospital in Mumbai.Total assessment
questionnaires, Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Multidimensional Assessment of Fatigue (MAF) Scale,
Breastfeeding Self Efcacy Scale (BSES), Edinburgh Postnatal Depression Scale (EPDS) were used to gather information from 84 primigravida
lactating mothers attending anti-natal clinic during study period. Fifty-two mothers lled all the questionnaire and 32 mothers did not complete
all questionnaires appropriately.
RESULTS. The very weak negative correlation between BSFS with PSQI, BSES with ISI, BSES with MAF, BSES with EPDS, PSQI with MAF,
ISI with MAF and MAF with EPDS. High correlation was observed in PSQI with ISI (0.794), PSQI with EPDS (0.732), ISI with EPDS (0.736)
with 'p' value<0.05. In analysis it was revealed that Quality of sleep, Insomnia and Postpartum depression has good correlation between them.
These factors does not signicantly correlate with the breastfeeding efcacy of postpartum lactating mothers
CONCLUSION: Quality of sleep, level of fatigue, fatigue and postpartum depression does not impact directly on the perception of
primigravida mothers on their breastfeeding ability