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Clinical Nursing Research
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*High Risk Pregnancy
*Postpartum Care
*Sleep Disorders
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Postpartum Sleep in the Hospital

Relationship to Taking-in and Taking-Hold

Marilyn L. Evans

The University of North Carolina at Greensboro

Margaret J. Dick

The University of North Carolina at Greensboro

Deborah R. Shields

Womble, Carlyle, Sand Ridge & Rice, Winston-Salem. North Carolina

Deborah M. Shook

Watauga Medical Center, Boone, North Carolina

Mary Beth Smith

Women's Hospital of Greensboro, Greensboro, North Carolina

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.

Clinical Nursing Research, Vol. 7, No. 4, 379-389 (1998)
DOI: 10.1177/105477389800700405
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