Document Detail


The effects of maternal epidural anesthesia on neonatal behavior during the first month.
MedLine Citation:
PMID:  1451936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effects of maternal epidural anesthesia with bupivacaine on the infant's performance on the Neonatal Behavioral Assessment Scale (NBAS) over the first month of life were examined. 20 non-medicated infants were matched for biomedical and demographic variables with 20 infants delivered with bupivacaine epidural anesthesia. The NBAS was administered on days 1, 3, 7 and 28. The epidural group showed poorer performance on the orientation and motor clusters during the first month of life. Epidural mothers reported spending less time with their infants while in the hospital; post hoc analyses showed that they had longer labor, more forceps deliveries and a greater amount of oxytocin. Controlling for the effects of these medical variables, a dose effect was found for the mean orientation and motor cluster scores. The results are discussed in terms of possible effects of the infant's early disorganization on the mother-infant interaction.
Authors:
C M Sepkoski; B M Lester; G W Ostheimer; T B Brazelton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Developmental medicine and child neurology     Volume:  34     ISSN:  0012-1622     ISO Abbreviation:  Dev Med Child Neurol     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-01-06     Completed Date:  1993-01-06     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0006761     Medline TA:  Dev Med Child Neurol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1072-80     Citation Subset:  IM    
Affiliation:
Cry Research, Inc., Boston University School of Medicine, Cambridge 02141.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Epidural*
Anesthesia, Obstetrical*
Arousal / drug effects*
Bupivacaine* / adverse effects,  pharmacokinetics
Dose-Response Relationship, Drug
Female
Humans
Infant, Newborn*
Male
Mother-Child Relations
Motor Activity / drug effects*
Neurologic Examination / drug effects*
Obstetrical Forceps
Chemical
Reg. No./Substance:
2180-92-9/Bupivacaine
Comments/Corrections
Comment In:
Dev Med Child Neurol. 1994 Jan;36(1):91-2   [PMID:  8132121 ]

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


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