There is a great article in the current(Oct-Nov 07) AWHONN publication Nursing for Women's Health, it is titles "Maternal Anesthesia What are the Effects on Neonates" by Kathleen Courtney, MSN,RN,CNM, get your hands on it if you can, it's very good! Cindy
Cindy Curtis RN IBCLC CCE
http://www.breastfeedingonline.com
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-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Kay McKee
Sent: Sunday, October 21, 2007 3:08 PM
To: [log in to unmask]
Subject: Re: [LACTNET] Fentanyl, etc.
I've always tried (since my early years as a CCE 20 years ago) to forewarn families that the "medications" (read: drugs) used in and around childbirth do have an effect on babies. I equate it to us having one too many drinks (or maybe several too many), and that as a result we are sleepy, uncoordinated, don't learn well, can't pay attention, etc.) These responses in a newborn, if "medications" are needed, may require the parents to be more proactive in helping their babies (and themselves) to the best possible start. This approach seems to make sense to people, yet doesn't put me in the category of those "fanatics" who don't want moms to have any drugs.
To our anesthesia friend (I must have missed that post - who?), years ago I remember Dr. Hale talking about riperidine vs. meperidine etc. as a better choice in epidurals, etc.; What's being used mostly today (I've been out of touch for a while), pros and cons, and what happened to riperidine?
--
Kay McKee
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