Prevalence of insomnia and associated factors among postpartum mothers in Mattu City, Southwest Ethiopia: a community-based study.

BACKGROUND

Insomnia during the postpartum period has short-term and long-lasting effects on the health of the mother and her baby. Hence, this study assessed the prevalence of insomnia and its associated factors among postpartum mothers in Mattu City.

METHODS

A community-based cross-sectional study was conducted among randomly selected 451 postpartum mothers in Mattu City from May 1 to June 1, 2022. A structured questionnaire was used to conduct a face-to-face interview. Athens's Insomnia Scale (AIS) standardized tool was used to measure insomnia. EpiData version 4.4.2.1 and Statistical Package for Social Sciences version 26 were used for data entry and analysis, respectively. Factors significantly affecting insomnia were identified using a binary logistic regression analysis at a p-value of less than 0.05.

RESULTS

The prevalence of insomnia was found to be 29.3% (95% CI: 25, 33.5). Parity (AOR = 3.36; 95% CI: 1.88, 5.60), unplanned pregnancy (AOR = 6.15; 95% CI: 5.23, 11.55), lack of postnatal follow-up (AOR = 3.82; 95% CI: 1.85, 7.90), partner dissatisfaction with the gender of the current baby (AOR = 5.73; 95% CI: 3.23, 10.2), partner daily alcohol use (AOR = 3.12; 95% CI: 1.66), and postpartum intimate partner violence (AOR = 2.60; 95% 4.67) were found to be factors significantly associated with insomnia.

CONCLUSIONS

Generally, three in ten mothers were suffering from insomnia in the study area. Therefore, health professionals and health extension workers need to endorse and enhance the counseling of the postpartum mother and her partner jointly. In addition, the media and other concerned bodies should focus on the identified factors to overcome them.