Evidence map›Paper›PMID 41229134›Full record

ArticleAnnals of medicine2025

Sleep quality after caesarean delivery: associated factors and effects on quality of life and early breastfeeding.

Thatchanan Jintadawong, Patchareya Nivatpumin, Manussawee Swaengrujitham, Wiruntri Punchuklang, Tripop Lertbunnaphong

Registry-linked trialAbstract read
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05757401 (Sleep Quality After Cesarean Delivery Under Spinal Anesthesia With Intrathecal Morphine and Related Factors), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05757401 completednot on this map

Sleep Quality After Cesarean Delivery Under Spinal Anesthesia With Intrathecal Morphine and Related Factors

TypeobservationalSponsorMahidol UniversityRan2023 to 2024Enrolled286ConditionsCesarean Section Complications, Sleep Disturbance, Perioperative Complication
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Thatchanan JintadawongDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0009-0002-0998-9305
Patchareya NivatpuminDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-1386-4855
Manussawee SwaengrujithamDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0009-0000-9121-2356
Wiruntri PunchuklangDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0001-7377-5358
Tripop LertbunnaphongDepartment of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-1571-1679

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the prevalence and associated factors of poor sleep quality after caesarean delivery on the first postoperative night. We also evaluated its impact on quality of life and early breastfeeding effectiveness.

methodsThis single-centre, cross-sectional study collected data from February 2023 to March 2024. We enrolled patients who underwent caesarean delivery under spinal anaesthesia. We gathered perioperative data and utilized the Thai version of the Richards-Campbell Sleep Quality Questionnaire (RCSQ) to evaluate sleep quality. An overall score of below 50 indicated poor sleep quality. The Thai version of the EuroQol Five Dimensions Five Levels (EQ-5D-5L) questionnaire was used to assess quality of life, and the latch, audible swallowing, type of nipple, comfort and hold (positioning) (LATCH) score was employed to evaluate breastfeeding effectiveness. Multivariable logistic regression models were used to analyse associated factors, with data presented as adjusted odds ratios with 95% confidence intervals.

resultsThe analysis included 284 patients. Seventy-nine patients (27.8%) demonstrated poor sleep quality after caesarean delivery. Three independent factors correlated with poor sleep quality were maternal age ≥35 years (1.880 [1.086-3.252],

conclusionThe findings underscore the importance of recognizing patients at higher risk for poor sleep quality. Careful pain monitoring, timely support for urgent or emergency cases and early identification of potential sleep disturbances may guide individualized postoperative care.

Indexed as

Breast FeedingCesarean SectionQuality of LifeSleep QualitySleep Wake DisordersAdultCross-Sectional StudiesFemaleHumansPregnancySurveys and QuestionnairesThailandBreastfeedingcaesarean deliveryEQ-5D-5Lpostoperative painquality of lifesleep quality

Identifiers

PMID41229134
PMCPMC12616658

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.