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Subject:
From:
Nikki Lee <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 13 Feb 2006 03:31:20 EST
Content-Type:
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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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