Breastfeeding and epidural analgesia during labour

Devroe, Sarah; Coster, Johan De; Velde, Marc Van de

doi:10.1097/aco.0b013e32832a1d1b

Cited by 12 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many factors, such as the mode of delivery, prior breastfeeding success, and parity, are considered potentially confounding variables in evaluating analgesia labor effect on breastfeeding. 6,7,27 For this reason, in our study we excluded patients with potential confounding factors.…”

Section: Discussionmentioning

confidence: 99%

“…Breastfeeding has significant benefits for the newborns (i.e., protection from infectious diseases, improved cognitive development, and benefits related to maternal-infant bonding). 6 Human milk may also protect against sudden infant death syndrome, diabetes, lymphoma, allergies, and chronic digestive diseases. Lactation decreases the risk of postpartum bleeding, speeds the return to prepregnancy weight, improves bone remineralization, and reduces risks of ovarian and breast cancer.…”

Section: Introductionmentioning

confidence: 99%

“…Lactation decreases the risk of postpartum bleeding, speeds the return to prepregnancy weight, improves bone remineralization, and reduces risks of ovarian and breast cancer. 6,7 Nevertheless, there seems to be a link between breastfeeding and a greater response to infant cues in brain regions implicated in maternal-infant bonding and empathy during the early postpartum. Such brain activations may facilitate greater maternal sensitivity as infants enter their social world.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Epidural Analgesia During Labor: Impact on Delivery Outcome, Neonatal Well-Being, and Early Breastfeeding

Gizzo

Gangi

Saccardi

et al. 2012

Breastfeeding Medicine

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Epidural Analgesia During Labor: Impact on Delivery Outcome, Neonatal Well-Being, and Early Breastfeeding

Gizzo

Gangi

Saccardi

et al. 2012

Breastfeeding Medicine

View full text Add to dashboard Cite

show abstract

“…By contrast, other studies found no such relationships (17, 23-27), including one randomized clinical trial (6). Some argue that this one trial has settled the discussion about a potential deleterious relationship between breastfeeding and use of epidural (28) As with many of the epidural and breastfeeding studies, the trial’s analyses did not include covariates well-known to be associated with breastfeeding (e.g. breastfeeding intention, goal; marital/partner status).…”

Section: Introductionmentioning

confidence: 99%

Labor Epidural Anesthesia, Obstetric Factors and Breastfeeding Cessation

Dozier

Howard

Brownell

et al. 2012

Matern Child Health J

View full text Add to dashboard Cite

Objective Breastfeeding benefits both infant and maternal health. Use of epidural anesthesia during labor is increasingly common and may interfere with breastfeeding. Studies analyzing epidural anesthesia’s association with breastfeeding outcomes show mixed results; many have methodological flaws. We analyzed potential associations between epidural anesthesia and overall breast-feeding cessation within 30 days postpartum while adjusting for standard and novel covariates and uniquely accounting for labor induction. Methods A pooled analysis using Kaplan-Meier curves and modified Cox Proportional Hazard models included 772 breastfeeding mothers from upstate New York who had vaginal term births of healthy singleton infants. Subjects were drawn from two cohort studies (recruited postpartum between 2005 and 2008) and included maternal self-report and maternal and infant medical record data. Results Analyses of potential associations between epidural anesthesia and overall breastfeeding cessation within one month included additional covariates and uniquely accounted for labor induction. After adjusting for standard demographics and intrapartum factors, epidural anesthesia significantly predicted breastfeeding cessation (hazard ratio 1.26 [95%confidence interval 1.10, 1.44], p<.01) as did hospital type, maternal age, income, education, planned breastfeeding goal, and breastfeeding confidence. In post hoc analyses stratified by Baby Friendly Hospital (BFH) status, epidural anesthesia significantly predicted breastfeeding cessation (BFH: 1.19 [1.01,1.41], p<.04; non-BFH: 1.65 [1.31, 2.08], p<.01). Conclusions A relationship between epidural anesthesia and breastfeeding was found but is complex and involves institutional, clinical, maternal and infant factors. These findings have implications for clinical care and hospital policies and point to the need for prospective studies.

show abstract

“…At hospitals with policies that minimize early maternal-infant separation, when analgesia is required, epidural labor analgesia is the best form of analgesia available, because it has minimal effects on the newborn and lactation success [43,46,47].…”

Section: Neuraxial Analgesia During Labormentioning

confidence: 99%

Epidural Analgesia and Lactation

Akbaş

Akcan

2011

EAJM

View full text Add to dashboard Cite

Present-day mothers have an increased desire to breastfeed, but this desire has increased in parallel with the increased use of epidural analgesia during labor. Epidural anesthesia requires a high level of technical proficiency to avoid serious complications and should always be performed by a trained anesthetist using a strict aseptic technique to reduce the risk of infection. There is currently no consensus regarding the relationship between breastfeeding and epidural analgesia during labor. The purpose of this review was to evaluate the effect of epidural analgesia on breastfeeding. Key Words: Breastfeeding, Epidural analgesia, Labor ÖzetGünümüzde annelerin bebeklerini anne sütüyle besleme istekleri giderek artmaktadır. Fakat aynı zamanda doğum eylemi sırasında epidural analjezi kullanımı da artmaktadır. Epidural anestezi uygulamaları ciddi komplikasyonlardan kaçınabilmek için yüksek teknik yeterlilik gerektirir, enfeksiyon riskinden kaçınmak için mutlak aseptik tekniklere dikkat ederek deneyimli bir anestezist tarafından uygulanmalıdır. Doğumda epidural analjezi kullanımı ve emzirme konusunda ortak bir görüş yoktur. Bu derlemenin amacı epidural analjezinin emzirme üzerine etkisini değerlendirmektir.

show abstract

Breastfeeding and epidural analgesia during labour

Abstract: There is no good evidence that epidural analgesia causes reduced breastfeeding success. Good lactation support is critical.

Cited by 12 publications

References 14 publications

Epidural Analgesia During Labor: Impact on Delivery Outcome, Neonatal Well-Being, and Early Breastfeeding

Epidural Analgesia During Labor: Impact on Delivery Outcome, Neonatal Well-Being, and Early Breastfeeding

Labor Epidural Anesthesia, Obstetric Factors and Breastfeeding Cessation

Epidural Analgesia and Lactation

Contact Info

Product

Resources

About