Document Detail


Epidural analgesia during labor and delivery: effects on the initiation and continuation of effective breastfeeding.
MedLine Citation:
PMID:  16113019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This prospective cohort study examined the association between epidural analgesia during labor and delivery, infant neurobehavioral status, and the initiation and continuation of effective breastfeeding. Healthy, term infants delivered vaginally by mothers who received epidural analgesia (n = 52) or no analgesia (n = 63) during labor and delivery were assessed at 8 to 12 hours postpartum, followed by a telephone interview with the mothers at 4 weeks postpartum. There was no significant difference between the epidural analgesia and no-analgesia groups in breastfeeding effectiveness or infant neurobehavioral status at 8 to 12 hours or in the proportion of mothers continuing to breastfeed at 4 weeks. Therefore, epidural analgesia did not appear to inhibit effective breastfeeding. There was a positive correlation between infant neurobehavioral status and breastfeeding effectiveness (Spearman rho = 0.48, P = .01), suggesting that neurobehavioral assessment may prove beneficial in identifying infants at greater risk for breastfeeding difficulties.
Authors:
Zorina Marzan Chang; Maureen I Heaman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of human lactation : official journal of International Lactation Consultant Association     Volume:  21     ISSN:  0890-3344     ISO Abbreviation:  J Hum Lact     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-22     Completed Date:  2005-10-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8709498     Medline TA:  J Hum Lact     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305-14; quiz 315-9, 326     Citation Subset:  N    
Affiliation:
Labor, Delivery, Recovery, Postpartum Unit, Women's Hospital, Health Sciences Centre, Winnipeg, Manitoba, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesia, Epidural* / adverse effects
Analgesia, Obstetrical* / adverse effects
Breast Feeding / statistics & numerical data*
Cohort Studies
Female
Humans
Infant
Infant Behavior / drug effects
Infant, Newborn / physiology*
Lactation / drug effects,  physiology*
Obstetric Labor Complications
Pain / drug therapy
Pregnancy
Prospective Studies
Risk Factors
Time Factors
Comments/Corrections
Comment In:
J Hum Lact. 2006 Feb;22(1):11; author reply 11-2   [PMID:  16467283 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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