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Sleep is critical to mental and physical health following childbirth. However, patients who are hospitalized for labor and delivery may be admitted for days with significant impacts on sleep levels. Little is known about sleep and activity levels in inpatients during nighttime and daytime following childbirth and how this may affect their mental and physical health and wellbeing. If abnormalities are identified, targeted interventions may be possible to optimize recovery following delivery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Postpartum patients | Women booked and have delivery of their child(ren) at Lucile Packard Children's Hospital |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| planned or unplanned Cesarean, operative, or non operative delivery | Procedure | All types of delivery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of inpatient postpartum sleep using actigraphy | Participants will wear an acitgraphy watch during their inpatient stay to measure sleep. | During inpatient stay (up to 7 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Association between actigraphy data with inpatient and outpatient postpartum Patient Reported Outcome Measures (PROMs) | Measurement of postpartum actigraphy data to associate with patient reported outcome measures (PROM) (ObsQoR-10, Edinburgh Postpartum Depression Score, WHO-QOL-BREF and Bergen Insomnia Scale Score) given by face to face then remote interview | Day 1-7, 6 and 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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All pregnant women booked to deliver their child(ren) at Lucile Packard Children's Hospital. Eligible and consenting patients enrolled will wear an Actigraph watch during their inpatient stay (from preoperative period if undergoing cesarean delivery or during labor if undergoing a planned vaginal delivery).
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| Name | Affiliation | Role |
|---|---|---|
| Pervez Sultan, MD | Stanford University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lucile Packard Children's Hospital | Stanford | California | 94305 | United States |
The data collected from the watches will not be available to share with other researchers.
Anonymous and aggregated data will be available for verification only on request.
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| Association between inpatient actigraphy data and patient demographic, medical, obstetric, psychiatric, neonatal and anesthetic factors | Participants will wear an acitgraphy watch during their inpatient stay to measure physical activity and sleep. | During inpatient stay and outpatient follow up (up to 7 days) |
| Association between outpatient sleep data with patient demographic, medical, obstetric, psychiatric, neonatal and anesthetic factors | Participants will be interviewed at 6 and 12 weeks with PROM questions and sleep diaries to assess for association with demographic, medical obstetric, psychiatric neonatal and anaesthetic factors. | 6 and 12 weeks |
| Association between objective (artigraphy) and subjective sleep assessment using diaries and PROMs | Participants will wear an acitgraphy watch during their inpatient stay to measure physical activity and sleep. PROM survey data during inpatient day 1-7 and outpatient 6- 12 week interview. | Day 1-7, 6 and 12 weeks |
| Determine population norms of objective and subjective sleep measures in the postpartum population. | Participants will wear an acitgraphy watch during their inpatient stay to measure physical activity and sleep. PROM survey data during inpatient day 1-7 and outpatient 6 and 12 week interview. | Day 1-7, 6 and 12 weeks |
| Association between inpatient sleep and physical activity, PROMs and peripartum course with longer term outpatient sleep measures | Participants will wear an acitgraphy watch during their inpatient stay to measure physical activity and sleep. PROM survey data during inpatient day 1-7 and outpatient 6 and 12 week interview. | Day 1-7, 6 and 12 weeks |