ArticleInternational journal of women's health2026
Differential Maternal Physiological Stress Responses During Rooming-In: High Stress in Newborn Sleeping versus Relief in Breastfeeding.
Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Postpartum stress (PPS) significantly risks maternal-infant health, yet how specific newborn behavioral states are dynamically associated with maternal physiological stress during rooming-in remains unknown. Purpose: This study examined the associations among maternal stress, rooming-in levels, and newborn states during early postpartum hospitalization. Methods: A prospective repeated-measures observational study with consecutive sampling was conducted at a hospital in Taiwan. Eligible participants were healthy, full-term, primiparous women after vaginal birth accompanied by a partner; those with clinical complications or cardiac arrhythmias were excluded. A total of 43 women completed the overall longitudinal assessments. Maternal normalized low frequency (nLF) was monitored via portable ECG across four newborn states (crying, breastfeeding, being held, sleeping). Among them, a subgroup of 30 mothers provided complete newborn state diaries and continuous ECG data for synchronized analysis. Data were analyzed with descriptive statistics, paired samples Results: Overall maternal nLF increased significantly from Day 1 (T1) to Day 3 (T2) ( Conclusion: Infant sleep is linked to maternal situational alertness rather than rest, while breastfeeding offers stress-relief potential. This study provides preliminary exploratory evidence that maternal autonomic activity varies across caregiving contexts.
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