Title
Predictive factors of postpartum fatigue: A prospective cohort study among working women
Author
Bakker, M.
van der Beek, A.J.
Hendriksen, I.J.M.
Bruinvels, D.J.
van Poppel, M.N.
Publication year
2014
Abstract
Objectives The aim of this study was to investigate which prepartum determinants contribute to the development of postpartum (PP) fatigue among working women in the Netherlands. Methods A prospective cohort study in 15 Dutch companies was conducted to measure different potential predictors using self-administrated questionnaires at baseline and at 30 weeks of pregnancy. Fatigue was measured at 12 (N = 523) and 52 weeks (N = 436) PP using the Checklist Individual Strength (CIS). A CIS score > 76 was defined as fatigue. Results The prevalence of fatigue at 12 and 52 weeks PP was 24.5% and 18.1%, respectively. Fourteen predictive factors were found for fatigue (R2 = 0.37) at 12 weeks PP. Ten predictive factors were found for fatigue at 52 weeks PP (R2 = 0.36). In general, less favourable work relationships and characteristics, poorer mental health, more passive coping styles, more sleeping problems, more fatigue during pregnancy, and beliefs about child care arrangements were related to PP fatigue. At 30 weeks of pregnancy, only more fatigue (OR = 3.69, p < 0.001; OR = 2.68, p = 0.02) and poorer mental health (OR = 0.50, p = 0.02; OR = 0.90, p = 0.78) predicted fatigue both at 12 and 52 weeks PP. Conclusions A large number of predictive factors for PP fatigue were found. These findings indicate that different aspects can contribute to being fatigued after pregnancy. Further research is needed to investigate the effect of possible interventions by employers and/or occupational physicians.
Subject
Behavioural Changes
LS - Life Style
ELSS - Earth, Life and Social Sciences
Work and Employment
Workplace
Healthy Living
Postpartum
The Netherlands
Working women
Pregnancy
Adult
Cohort Studies
Fatigue
Female
Humans
Netherlands
Postpartum Period
Predictive Value of Tests
Pregnancy
Prospective Studies
Questionnaires
Risk Assessment
Risk Factors
Women, Working
Sleep disorder
Working mother
Adaptive behavior
Predictive value
Psychology
Puerperium
Risk assessment
Risk factor
To reference this document use:
http://resolver.tudelft.nl/uuid:4685a111-bb03-4ea2-a8e1-4612e6276324
DOI
https://doi.org/10.1016/j.jpsychores.2014.08.013
TNO identifier
523351
Source
Journal of Phychosomatic Research, 77 (5), 385-390
Document type
article