Document Detail

The effect of postoperative analgesia with continuous epidural bupivacaine after cesarean section on the amount of breast feeding and infant weight gain.
MedLine Citation:
PMID:  8638785     Owner:  NLM     Status:  MEDLINE    
The purpose of this study is to determine the effect of postoperative analgesia on the amount of breast feeding and infant weight gain. Thirty parturients undergoing elective cesarean section under spinal anesthesia were randomly allocated to receive postoperative pain management with (S-E group, n = 15) or without epidural bupivacaine (S group, n = 15). Epidural analgesia was performed for 3 days with a continuous epidural infusion (0.7 mL/h) of 0.25% bupivacaine. Diclofenac was available on demand in all patients. The weight of milk fed by breast and the infant weight were measured for 11 days after cesarean section. In the S-E group, the visual analog pain score after surgery was significantly lower and both the weight of milk fed by breast and the infant weight during the study were significantly more than the respective values in the S group. The S group required a larger dose of diclofenac after the operation than did the S-E group. We suggest that satisfactory postoperative pain relief with continuous epidural bupivacaine for 3 days after cesarean section improved the amount of breast feeding and the gain of infant weight.
M Hirose; Y Hara; T Hosokawa; Y Tanaka
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  82     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-07-11     Completed Date:  1996-07-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1166-9     Citation Subset:  AIM; IM    
Department of Anesthesiology, Kyoto Prefectural University of Medicine, Japan.
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MeSH Terms
Analgesia, Epidural / methods*
Analgesia, Obstetrical / methods*
Anesthetics, Local / administration & dosage*
Breast Feeding*
Bupivacaine / administration & dosage*
Cesarean Section*
Child Development / drug effects*
Drug Administration Schedule
Infant, Newborn
Lactation / drug effects
Postoperative Care
Weight Gain / drug effects
Reg. No./Substance:
0/Anesthetics, Local; 2180-92-9/Bupivacaine

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