Top

Published in:

Open Access 01-12-2014 | Research

Epidural analgesia, neonatal care and breastfeeding

Authors: Antonio Alberto Zuppa, Giovanni Alighieri, Riccardo Riccardi, Maria Cavani, Alma Iafisco, Francesco Cota, Costantino Romagnoli

Published in: Italian Journal of Pediatrics | Issue 1/2014

Abstract

The objective of our study is to evaluate the correlation between epidural analgesia during labor, start of breastfeeding and type of maternal-neonatal care.

Two different assistance models were considered: Partial and Full Rooming-in.

In this cohort study, 2480 healthy infants were enrolled, 1519 in the Partial Rooming-in group and 1321 in the Full Rooming-in group; 1223 were born to women subjected to epidural analgesia in labor.

In case of Partial Rooming-in the rate of exclusive or prevailing breastfeeding is significant more frequent in newborns born to mothers who didn't receive analgesia. Instead, in case of Full Rooming-in the rate of exclusive or prevailing breastfeeding is almost the same and there's no correlation between the use or not of epidural analgesia.

The good start of lactation and the success of breastfeeding seems to be guaranteed by the type of care offered to the couple mother-infant, that reverses any possible adverse effects of the use of epidural analgesia in labor.

Available only for authorised users

American Academy of Pediatrics Work Group on Breastfeeding: Breastfeeding and the use of Human milk. Pediatrics. 1997, 100: 1035-1039. 10.1542/peds.100.6.1035.CrossRef

Halpern SH, Levine T, Wilson DB, MacDonell J, Katsiris SE, Leighton BL: Effect of labor analgesia on breastfeeding success. Birth. 1999, 26 (2): 83-88. 10.1046/j.1523-536x.1999.00083.x.CrossRefPubMed

Gartner LM, Morton J, Lawrence RA, Naylor AJ, O'Hare D, Schanler RJ, Eidelman AI: Breastfeeding and the use of human milk. Pediatrics. 2005, 115 (2): 496-506. 10.1542/peds.2004-2491.CrossRefPubMed

Reynolds F: Labour analgesia and the baby: good news is no news. Int J Obstet Anesth. 2011, 20 (1): 38-50. 10.1016/j.ijoa.2010.08.004.CrossRefPubMed

Volmanen P, Valanne J, Alahuhta S: Breast-feeding problems after epidural analgesia for labour: a retrospective cohort study of pain, obstetrical procedures and breast-feeding practices. Int J Obstet Anesth. 2004, 13 (1): 25-29. 10.1016/S0959-289X(03)00104-3.CrossRefPubMed

Jordan S, Emery S, Bradshaw C, Watkins A, Friswell W: The impact of intrapartum analgesia on infant feeding. BJOG. 2005, 112 (7): 927-934. 10.1111/j.1471-0528.2005.00548.x.CrossRefPubMed

Torvaldsen S, Roberts CL, Simpson JM, Thompson JF, Ellwood DA: Intrapartum epidural analgesia and breastfeeding: a prospective cohort study. Int Breastfeed J. 2006, 1: 24-10.1186/1746-4358-1-24.PubMedCentralCrossRefPubMed

Wiklund I, Norman M, Uvnäs-Moberg K, Ransjö-Arvidson AB, Andolf E: Epidural analgesia: breast-feeding success and related factors. Midwifery. 2009, 25 (2): e31-e38. 10.1016/j.midw.2007.07.005.CrossRefPubMed

Courtney K: Maternal Anesthesia: what are the effects on neonates?. Nurs Women's Health. 2007, 11: 499-502. 10.1111/j.1751-486X.2007.00225.x.CrossRef

10.

Baumgarder DJ, Muehl P, Fischer M, Pribbenow B: Effect of labor epidural anesthesia on breas-feeding of healty full-term newborns delivered vaginally. J Am Board Fam Pract. 2003, 16: 7-13. 10.3122/jabfm.16.1.7.CrossRefPubMed

11.

Radzyminski S: The effect of ultra low dose epidural analgesia on newborn breastfeeding behaviors. J Obstet Gynecol Neonatal Nurs. 2003, 32: 322-331. 10.1177/0884217503253440.CrossRefPubMed

12.

Henderson JJ, Dickinson JE, Evans SF, McDonald SJ, Paech MJ: Impact of intrapartum epidural analgesia on breast-feeding duration. Aust N Z J Obstet Gynaecol. 2003, 43: 372-377. 10.1046/j.0004-8666.2003.t01-1-00117.x.CrossRefPubMed

13.

Reynolds F: The effects of maternal labour analgesia on the fetus. Best Pract Res Clin Obstet Gynaecol. 2010, 24 (3): 289-302. 10.1016/j.bpobgyn.2009.11.003.CrossRefPubMed

14.

Goma HM, Said RN, El-Ela AM: Study of the newborn feeding behaviors and fentanyl concentration in colostrum after an analgesic dose of epidural and intravenous fentanyl in cesarean section. Saudi Med J. 2008, 29 (5): 678-682.PubMed

15.

Forster DA, McLachlan HL: Breastfeeding initiation and birth setting practices: a review of the literature. J Midwifery Womens Health. 2007, 52 (3): 273-280. 10.1016/j.jmwh.2006.12.016.CrossRefPubMed

16.

Chang ZM, Heaman MI: Epidural analgesia during labor and delivery: effects on the initiation and continuation of effective breastfeeding. J Hum Lact. 2005, 21 (3): 305-314. 10.1177/0890334405277604.CrossRefPubMed

17.

Zuppa AA, Sindico P, Antichi E, Carducci C, Alighieri G, Cardiello V, Cota F, Romagnoli C: Weight loss and jaundice in healthy term newborns in partial and full rooming-in. J Matern Fetal Neonatal Med. 2009, 22 (9): 801-805. 10.3109/14767050902994499.CrossRefPubMed

18.

Loubert C, Hinova A, Fernando R: Update on modern neuraxial analgesia in labour: a review of the literature of the last 5 years. Anaesthesia. 2011, 66 (3): 191-212. 10.1111/j.1365-2044.2010.06616.x.CrossRefPubMed

19.

World Health Organization: Indicators for assessing infant and young child feeding practices. 2007

20.

Wilson MJ, MacArthur C, Cooper GM, Bick D, Moore PA, Shennan A, COMET Study Group UK: Epidural analgesia and breastfeeding: a randomised controlled trial of epidural techniques with and without fentanyl and a non-epidural comparison group. Anaesthesia. 2010, 65 (2): 145-153. 10.1111/j.1365-2044.2009.06136.x.CrossRefPubMed

21.

Leighton BL, Halpern SH: Epidural analgesia: effects on labor progress and maternal and neonatal outcome. Semin Perinatol. 2002, 26 (2): 122-135. 10.1053/sper.2002.32201.CrossRefPubMed

22.

Albani A, Addamo P, Renghi A, Voltolin G, Peano L, Ivani G: The effect on breastfeeding rate of regional anesthesia technique for cesarean and vaginal childbirth. Minerva Anestesiol. 1999, 65 (9): 625-630.PubMed

23.

Beilin Y, Bodian CA, Weiser J, Hossain S, Arnold I, Feierman DE, Martin G, Holzman I: Effect of labor epidural analgesia with and without fentanyl on infant breast-feeding: a prospective, randomized, double-blind study. Anesthesiology. 2005, 103 (6): 1211-1217. 10.1097/00000542-200512000-00016.CrossRefPubMed

24.

Wieczorek PM, Guest S, Balki M, Shah V, Carvalho JC: Breastfeeding success rate after vaginal delivery can be high despite the use of epidural fentanyl: an observational cohort study. Int J Obstet Anesth. 2010, 19 (3): 273-277. 10.1016/j.ijoa.2010.02.001.CrossRefPubMed

25.

Pandya ST: Labour analgesia: Recent advances. Indian J Anaesth. 2010, 54 (5): 400-408. 10.4103/0019-5049.71033.PubMedCentralCrossRefPubMed

Title: Epidural analgesia, neonatal care and breastfeeding
Authors: Antonio Alberto Zuppa
Giovanni Alighieri
Riccardo Riccardi
Maria Cavani
Alma Iafisco
Francesco Cota
Costantino Romagnoli
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Italian Journal of Pediatrics / Issue 1/2014
Electronic ISSN: 1824-7288
DOI: https://doi.org/10.1186/s13052-014-0082-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Epidural analgesia, neonatal care and breastfeeding

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2014

Late diagnosis of celiac disease in an asymptomatic infant with growth failure

Effect of long-term GH treatment in a patient with CHARGE association

The ever-expanding conundrum of primary osteoporosis: aetiopathogenesis, diagnosis, and treatment

In-hospital management of children with bacterial meningitis in Italy

Auxology – an editorial

Acute post-infectious cerebellar ataxia due to co-infection of human herpesvirus-6 and adenovirus mimicking myositis