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  • Title: Postpartum sleep in the hospital. Relationship to taking-in and taking-hold.
    Author: Evans ML, Dick MJ, Shields DR, Shook DM, Smith MB.
    Journal: Clin Nurs Res; 1998 Nov; 7(4):379-89. PubMed ID: 9919094.
    Abstract:
    This descriptive, correlational study examined the relationship of sleep in the hospital to the new mother's progression through Rubin's phases of taking-in and taking-hold in 120 women who had delivered vaginally. The Martell and Mitchell Postpartum Questionnaire, which measured taking-in and taking-hold, was completed the evening of delivery and the following two mornings. The Verran and Snyder-Halpern Visual Analog Sleep Scale was completed each morning. Both taking-in and taking-hold were present on the evening of delivery. There were small decreases in taking-in and small increases in taking-hold between the evening of delivery and the first morning. Sleep disturbance was high, and sleep effectiveness was low, on the first evening. Neither sleep measure was a predictor of change in taking-in or taking-hold. Findings indicate that taking-in and taking-hold are both present on the day of delivery and that increases in taking-hold take place despite high levels of sleep disturbance.
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