Impacts of nocturnal breastfeeding, photoperiod, and access to electricity on maternal sleep behaviors in a non-industrial rural Bolivian population.
Sleep Health
; 4(6): 535-542, 2018 12.
Article
em En
| MEDLINE
| ID: mdl-30442322
OBJECTIVES: We tested 4 main predictions, derived from life history theory and self-evident human diurnality, regarding maternal sleep behaviors in a non-industrialized population in which mother-nursling co-sleeping is universal and prolonged: (1) Night breastfeeding incurs a sleep cost to co-sleeping mothers; (2) Night breastfeeding increases with infant age, causing mothers to sleep less; (3) Sleep duration co-varies with darkness duration; (4) Access to electricity reduces sleep duration. DESIGN: Mothers self-recorded and reported nursing and sleep behaviors for a 48-hour period once per month (medianâ¯=â¯5â¯months). SETTING: Rural Bolivian altiplano homesteads, primarily reliant on agropastoralism, scattered throughout the countryside surrounding a main town (altitude 3800 m; 17°14'S, 65°55'W; darkness duration 10-12â¯hours over the year). PARTICIPANTS: One hundred eighty-four co-sleeping mother-infant pairs (infant age 22-730â¯days). MEASUREMENTS: Breastfeeding frequency, and retiring and rising times for 885 48-hour observation periods. RESULTS: Maternal sleep duration covaried with darkness duration. Sleep duration was shorter in those with access to electricity (ie, living nearer to town) than those without access (more distant homesteads). Night breastfeeding rate was fairly steady until it began to decline after the first year postpartum. At a given infant age, higher night breastfeeding rates were associated with less maternal sleep. As their infants aged, mothers without electricity slept more, whereas mothers with access slept less. CONCLUSIONS: During the first year postpartum, more frequent night nursing shortens maternal sleep more than any other predictor variable. For older infants, the effect of night nursing diminishes, and even modest "modernization" (eg, access to electricity) is associated with shorter maternal sleep.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sono
/
Aleitamento Materno
/
Fotoperíodo
/
Eletricidade
/
Mães
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Região como assunto:
America do sul
/
Bolivia
Idioma:
En
Revista:
Sleep Health
Ano de publicação:
2018
Tipo de documento:
Article
País de publicação:
Estados Unidos