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Research code: 4012417
Ethics code: IR.MUMS.NURSE.REC.1402.013
1- Department of Midwifery, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
2- School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran ,karimifz@mums.ac.ir
2- School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran ,
Abstract: (41 Views)
Background and Objective: Breastfeeding self-efficacy indicates breastfeeding behavior and the mother's ability to breastfeed. Sleep disorders are one of the factors affecting breastfeeding self-efficacy. Many physical and psychological changes occur during the postpartum period; one of the common problems during this period is sleep disorders. Considering the critical role of breastfeeding in maternal, infant, and societal health and the determining role of breastfeeding self-efficacy in initiating and continuing breastfeeding, this study aimed to investigate the relationship between postpartum sleep quality and breastfeeding self-efficacy among women attending health centers in Birjand, Iran, in 2024.
Material and methods: This cross-sectional study was conducted on 500 women referring to health centers in Birjand, Iran, in 2024. Sampling was done using a multi-stage stratified, cluster, and convenience method. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Short Form of the Breastfeeding Self-Efficacy Scale (BSES-SF). Data analysis was done using SPSS software, and a p-value of less than 0.05 was considered significant.
Results: In the present study, the mean age of mothers was 29.06 ± 6.71 years, the mean total sleep quality score in women was 28.7 ± 4.16, and 62.4% of women had sleep disorders. The mean breastfeeding self-efficacy score was 43.07 ± 16.57. Pearson’s correlation analysis revealed a significant inverse relationship between total score and the dimensions of sleep quality (subjective quality, sleep latency, duration, habitual efficiency, disturbances, and daytime dysfunction) with breastfeeding self-efficacy (r=-0.557, P<0.001).
Conclusion: Given the association between poor sleep quality and reduced breastfeeding self-efficacy, postpartum care centers must develop and implement comprehensive programs for screening, educating, and treating sleep-related disturbances during the postpartum period. Because paying attention to sleep quality in the postpartum period can lead to increased breastfeeding self-efficacy.
Material and methods: This cross-sectional study was conducted on 500 women referring to health centers in Birjand, Iran, in 2024. Sampling was done using a multi-stage stratified, cluster, and convenience method. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Short Form of the Breastfeeding Self-Efficacy Scale (BSES-SF). Data analysis was done using SPSS software, and a p-value of less than 0.05 was considered significant.
Results: In the present study, the mean age of mothers was 29.06 ± 6.71 years, the mean total sleep quality score in women was 28.7 ± 4.16, and 62.4% of women had sleep disorders. The mean breastfeeding self-efficacy score was 43.07 ± 16.57. Pearson’s correlation analysis revealed a significant inverse relationship between total score and the dimensions of sleep quality (subjective quality, sleep latency, duration, habitual efficiency, disturbances, and daytime dysfunction) with breastfeeding self-efficacy (r=-0.557, P<0.001).
Conclusion: Given the association between poor sleep quality and reduced breastfeeding self-efficacy, postpartum care centers must develop and implement comprehensive programs for screening, educating, and treating sleep-related disturbances during the postpartum period. Because paying attention to sleep quality in the postpartum period can lead to increased breastfeeding self-efficacy.
Type of Study: Research Article |
Subject:
Medicine & Clinical Sciences
Received: 2026/02/9 | Accepted: 2026/07/8
Received: 2026/02/9 | Accepted: 2026/07/8
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