Postpartum sleep quality and physical activity profiles following elective cesarean delivery: a longitudinal prospective cohort pilot study utilizing a wearable actigraphy device
Authors' conclusion
Most sleep and physical activity metrics return to third trimester levels by 1 month postpartum. Several sleep metrics such as sleep efficiency and awakening after sleep were better in the first postpartum week than in the third trimester of pregnancy, but total sleep continues to be significantly impacted at day 28 postpartum. Physical activity returns to third trimester levels by one month postpartum.
Study context
- Population
- ASA 2 and 3 patients aged 18–50 years, term singleton pregnancy, scheduled cesarean delivery under neuraxial anaesthesia21 with analysable data
- Participants
- 38 participants
- Exposure
- Sleep and physical activity before vs after scheduled cesarean delivery
- Outcome
- Sleep (quality, duration, disruption, efficiency) and physical activity (moderate to vigorous activity bouts, metabolic equivalents (METs), caloric expenditure) by wrist-worn actigraphy
- Follow-up
- Day −7 to day 28 post-delivery
Methodological detailslongitudinal, wearable actigraphy
- Longitudinal
- Wearable actigraphy
Main finding
As reported in the abstract
Sleep and activity trends, day −7 to 28 · day 28
- Most activity and sleep variables did not differ significantly; returned to third trimester levels at month 1
- Some sleep metrics improved in first postpartum week vs third trimester
- Total sleep time worsened and did not recover by day 28 vs third trimester
- Physical activity dropped significantly immediately after delivery, then improved from day 0 to 28
Observational data: associations, not effects.
Original publication
Postpartum sleep quality and physical activity profiles following elective cesarean delivery: a longitudinal prospective cohort pilot study utilizing a wearable actigraphy device. Int J Obstet Anesth. Published 30 November 2024. doi:10.
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