Inpatient activity and sleep following vaginal versus scheduled cesarean delivery using actigraphy: an observational pilot study
Authors' conclusion
Inpatient sleep was poor in both delivery modes. Sleep restlessness indices were lower after vaginal delivery but non-significant following multiple comparison; greater early sedentary and light activity was greater following cesarean delivery and persisted following correction.
Study context
- Population
- Postpartum inpatients after vaginal or scheduled cesarean delivery, wearing wrist actigraphy throughout hospitalization61 fully analysed
- Participants
- 78 inpatients
- Exposure
- Vaginal vs scheduled cesarean delivery
- Outcome
- Inpatient postpartum sleep and activity (wrist actigraphy)
Methodological detailssingle-centre, observational pilot, exploratory
- Single-centre
- Observational pilot
- Exploratory
Main finding
As reported in the abstract
Sleep poor in both groups; median sleep-bout duration (h)
3.6
Average sleep movement index, Vaginal vs Cesarean (lower after vaginal; not significant after correction for multiple comparisons)
5.4 vs. 7.2
Sleep fragmentation index, Vaginal vs Cesarean (lower after vaginal; not significant after correction for multiple comparisons)
5.6 vs. 19.0
Observational data: associations, not effects.
Original publication
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