Coach Smith here again.

 

The OB research literature – until recently – has not directly addressed breastfeeding ability/success as an outcome when studying the effect of various drugs on the baby. Two recent articles (from the British Journal of OBGYN and Anesthesiology) reported a negative dose-relationship of Fentanyl on infant suck.

 

▪          Jordan, S., Emery, S., Bradshaw, C., Watkins, A., & Friswell, W. (2005). The impact of intrapartum analgesia on infant feeding. Bjog, 112(7), 927-934. Conclusions A dose–response relationship between fentanyl and artificial feeding has not been reported elsewhere. When well-established determinants of infant feeding are accounted for, intrapartum fentanyl may impede establishment of breastfeeding, particularly at higher doses.

 

▪          Beilin, Y., Bodian, C. A., Weiser, J., Hossain, S., Arnold, I., Feierman, D. E., et al. (2005). Effect of labor epidural analgesia with and without fentanyl on infant breast-feeding: A prospective, randomized, double-blind study. Anesthesiology, 103(6), 1211-1217. Conclusions: Among women who breast-fed previously, those who were randomly assigned to receive high-dose labor epidural fentanyl were more likely to have stopped breast-feeding 6 weeks postpartum than woman who were randomly assigned to receive less fentanyl or no fentanyl.

Linda J. Smith, BSE, FACCE, IBCLC

Bright Future Lactation Resource Centre Ltd

6540 Cedarview Ct, Dayton OH 45459

937-438-9458 / fax 937-438-3229

www.BFLRC.com  

 


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