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Subject:
From:
Sue Jacoby <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 4 Jan 2001 15:55:52 -0500
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>>Conclusions: In a hospital that strongly
promotes breastfeeding, epidural labor analgesia
with local anesthetics and opioids does not impede
breastfeeding success. <<

OK, I’m not that well trained in reading and
understanding these studies, so maybe I am missing
something significant- if so please enlighten
me... I know I could be missing something obvious.

Couldn’t be simply the excellent lactation support
services available in the hospital where the study
was done, rather than anything pertaining to the
use of epidurals, which accounted for this study’s
finding of “no impeding of breastfeeding?”  I
don’t see how this gives any real assurances
regarding epidural useage.  Maybe the lactation
consultants on staff had to spend a *significantly
longer time* with each epidural mom in order to
mitigate for the effects of the medication!

Seems to me we could just as easily see the
following statement: “In a hospital that strongly
promotes breastfeeding, the use of water bottles,
nipple shields, pacifiers or an SNS do not impede
breastfeeding success.”  Or am I missing something
here?
Thanks!
Sue Jacoby, IBCLC
Clovis, CA


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