The Effect of Early-Initiated Half-Swaddling and Kangaroo Care Practices on Maternal Sleep Quality and Postpartum Depression in Term Infants: A Randomized Controlled Trial.
Burcu Küçükkaya, Tülay Cihangir Öztürk, Gonca Erginler and 2 others
PMID 39988313WHAT IT FOUND
Mothers using half-swaddling, kangaroo care, or both had better sleep and lower depression scores in the tables, but the results text calls them worse.
Key findings
01The results text reports higher sleep scores in intervention mothers than control mothers at follow-up, and higher PSQI scores mean poorer sleep.
02The results text reports higher depression scores in intervention mothers than control mothers at follow-up, and higher EPDS scores mean greater risk.
03The table shows lower sleep and depression scores in intervention mothers than control mothers at follow-up.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The results text says intervention scores were higher than control scores, but the table and scale directions show lower intervention scores, so the reported direction is contradictory. Blinding was not feasible for researchers administering interventions, and outcomes were self-reported scales. The study was done at a single university maternity clinic with Turkish-speaking mothers, and most births were by cesarean. The paper does not report how many mothers completed each follow-up visit.
Declared interests
The authors declared no conflicts of interest, and no funding source is stated in the supplied text.
The easy way to misread this
Do not conclude that half-swaddling or kangaroo care definitely improves maternal sleep or depression. The paper's results text reports higher scores in intervention mothers than control mothers, while the table shows lower scores, and higher scores on these scales mean worse outcomes.