Document Detail

Effect of labor analgesia on breastfeeding success.
MedLine Citation:
PMID:  10687571     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The effect of labor analgesia on breastfeeding success is not well defined. Some authors have hypothesized that labor analgesia may affect lactation success. The purpose of this observational study was to determine if intrapartum analgesia influenced breastfeeding success at 6 weeks postpartum in a setting that strongly supported breastfeeding. METHODS: Healthy women with uncomplicated term pregnancies who planned to breastfeed consented to a telephone interview. We recorded demographic data, labor induction status, delivery mode, and analgesic medications. At between 6 and 8 weeks postpartum, patients were asked to describe breastfeeding use, problems encountered, solutions derived, sources of support and information, and satisfaction. We created a logistic regression model using intrapartum analgesia information and controlling for demographic factors previously correlated with lactation success. RESULTS: We enrolled 189 women, contacted 177 women postpartum, and obtained complete data on 171 women. Of these, 59 percent received epidural analgesia, 72 percent breastfed fully, and 20 percent breastfed partially (> 50% of infant nutrition) at 6 weeks postpartum. After controlling for demographics and labor outcome, we could not demonstrate a correlation between breastfeeding success at 6 to 8 weeks and labor analgesia. CONCLUSIONS: In a hospital that strongly promotes breastfeeding, epidural labor analgesia with local anesthetics and opioids does not impede breastfeeding success. We recommend that hospitals that find decreased lactation success in parturients receiving epidural analgesia reexamine their postdelivery care policies.
S H Halpern; T Levine; D B Wilson; J MacDonell; S E Katsiris; B L Leighton
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  26     ISSN:  0730-7659     ISO Abbreviation:  Birth     Publication Date:  1999 Jun 
Date Detail:
Created Date:  2000-03-16     Completed Date:  2000-03-16     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  83-8     Citation Subset:  N    
Department of Anesthesia, University of Toronto, Women's College Hospital, Ontario, Canada.
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MeSH Terms
Analgesia, Epidural / adverse effects*,  methods
Analgesia, Obstetrical / adverse effects*,  methods
Attitude to Health
Breast Feeding / psychology*,  statistics & numerical data*
Infant, Newborn
Logistic Models
Obstetric Labor Complications / drug therapy
Pain / drug therapy
Prospective Studies
Risk Factors
Time Factors
Comment In:
Birth. 1999 Dec;26(4):275-6   [PMID:  10655836 ]

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