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Date: | Mon, 13 Feb 2006 03:31:20 EST |
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In a message dated 2/12/2006 3:58:58 PM Eastern Standard Time,
[log in to unmask] writes:
"Meta-analysis of the studies on epidurals and breastfeeding demonstrate
that
having an epidural(not IV meds) does not negatively impact breastfeeding
success rates. ( I didn't come up with this- got in TDH BF course!) From
this I
gather that it's the immediate sts and other areas of post partum
management
that are more important than natural v epidural birth"
Dear Friends:
I am interested in a meta-anlysis that says this. Please share the
citation.
Enkin and Keirse's 3rd Guide to Effective Care in Pregnancy and
Childbirth says on page 326 that "epidural analgesia..........increases the
likelihood of operative delivery...............It is particularly worrying that
there are so few
experimentally-derived data available to assess its effects on infants or
its
long-term effects on the mother." Operative delivery tends to separate
infants and mothers due to injury.
What about Ransjo-Arividson describing the lack of mouthing and sucking and
hand massage movements made by babies born via epidurals? What about
Lieberman and others showing that 16.6% of mothers receiving epidurals got fevers,
and if the fever was high enough, the baby had an increased chance of a
neonatal seizure?
There are studies within the past year showing that babies whose mothers
received epidurals were more likely to get bottles and/or have less
attempts
at breast, as well as less successful attempts at breast. What of those
studies?
"Sure the babies could breastfeed except that they were in the nursery
or ICU getting spinal taps"...............(tongue drilling hole through
cheek
here!)
What is all this but negative impacts on breastfeeding?
It is true (as shown in the Halpern study in Toronto) that Baby-Friendly
practices can increase breastfeeding initiation rates, despite a high rate of
epidural use; but we don't know the impact on breastfeeding exclusivity,
duration, or on the physiology of the mother and baby, nor of the impact on the
parenting relationship.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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