Dear Christine, several years ago, L. Righard and others made a great video
which depicted babies with epidurals and their lack of ability to coordinate
latch, and suck.  It was short, and was with M. Alade, I think, but I cannot
remember the name.  This video was worth a thousand words on the subject,
and the short answer is YES. The baby was not "slow," intellectually. He was
reacting to the medications on board, which sound heavy duty. Kathleen


Kathleen Bruce RN IBCLC
Independent consultant:
Lactation Resources of Vermont, Medela, Inc. Listowner Lactnet listserv
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On 5/23/05 5:40 PM, "Christine Lichte" <[log in to unmask]> wrote:

> Hi everyone. My first question is about lidocain for epidurals. Our new
> anesthesiologist uses lidocain instead of fentanyl.  Any comments?
> 
> Second question. One of our anesthesiologists spoke with us because he does
> his epidurals different than the others.  He says that he likes to give mom
> enough meds up front that a c/s could be performed and then the meds wear
> off to the desired level.  Apparently the other anesthesiologists give moms
> a bolus that is not so numbing and they reach the desired level within the
> same time frame. In your experience, which has the least affect on
> breastfeeding (besides no epidural at all!!)?
> 
> Third question: We had a mom last week that was terrified of her impending
> labor pain so she told the Dr. that she did not want to feel a thing so he
> apparently gave her her wish and she was still wobbly and had to be helped
> to the bathroom hours after delivery.  The actual delivery was
> uncomplicated and second staged was less than 1 hour, but the baby would
> not feed at all in the first 24 hours.  He showed no feeding cues even
> after 24 hours and it was around 36 hours before he fed well from a bottle
> and even that was a struggle.  The nurses described the mother as "slow" so
> one thought that maybe the baby was just "slow" also and just didn't get
> it.  I think a more likely cause would be that this baby is too drugged to
> do anything! Would a large dose of meds via epidural affect a baby to this
> extent?
> 
> Thanks again.
> 
> Christine Lichte, IBCLC, LLL leader
>

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