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Subject:
From:
"Jennifer Tow, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 18 Feb 2006 10:21:19 -0500
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Even if we conclude that the studies on breastfeeding and epidurals are 
"inconclusive", then why wouldn't we tell parents that there is no 
absolute evidence that epidurals DO NOT interefere with breastfeeding? 
To say that there is no conclusive evidence that they do implies that 
their use should be considered acceptable, even normal even without 
proof that they are safe. This is what troubles me so much in 
obstetrics--we assume it is okay to use any given drug or procedure 
until it is proven to be unsafe. Further, from what I have seen the 
studies tend to compare epidurals to other meds, with the presumption 
being that we are looking for the "best" med. To me, that is akin to 
looking for the best AIM. There isn't one.

  In my mind, the valid comparison would have to ne an uninterrupted, 
unmendicated, normal home birth. Look at the behaviours or mothers and 
babies in that situation and you have a valid control group. Otherwise, 
what are we comparing--one drugged baby to a lesser drugged baby? Do we 
dismiss the stidies that have shown that babies born drugged are more 
likely to have addictive bahaviours in later life? Is our only concern 
whether or not the baby is still being bf at 6 weeks? What other 
maternal behaviours may be affected by interference with the normal 
hormonal milieu of birth and breastfeeding? Again, I would encourage 
everyone to become educated about the research being done by APPPAH 
members and published by them. It was in their newsletter that I first 
read the info about infant/maternal stem cells so many years ago. They 
are way ahead of the curve.
Jennifer Tow, IBCLC, CT, USA

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