Coach Smith here.
Babies who don't (can't) feed normally after birth are NOT NORMAL. The
epidural drugs almost certainly are a factor. Induction of labor, IV fluids,
maternal immobility that accompanies an epidural, forceps / vacuum /
Cesarean - all have an individual AND cumulative effect. Separating the
mother and baby after birth causes even MORE problems.
BFHI is a fabulous program, and now includes an optional "mother-friendly
birth practices" module to address the period of time between Step 3 (inform
all mothers) and Step 4 (baby to breast in first hour) - namely, Labor &
Birth.
BFHI practices can overcome a lot of the consequences of a difficult and/or
medicialized birth. However, excellent postbirth management can't eliminate
all of the effects of opiates and procedures on the newborn.
Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre Ltd
6540 Cedarview Ct, Dayton OH 45459
937-438-9458 / fax 937-438-3229
www.BFLRC.com
-----Original Message-----
From: Nikki Lee [mailto:[log in to unmask]]
Sent: Thursday, December 14, 2006 11:43 AM
Subject: epidural study in the news
Dear Friends:
Heather is skeptical about this study, citing high rates in Scandanavia.
The key difference is baby-friendly practices after delivery. If mothers and
babies are kept together from birth, and there is no nursery nor are formula
or pacifiers used routinely, the outcomes are different for breastfeeding.
Folks in Baby-Friendly hospitals have reported that bf rates are still high;
Righard and Alade found that separation of mother and baby after delivery
was far
more detrimental than labor medication.
Here is a study about it as well.
Effect of Labor Analgesia on Breastfeeding Success
Authors: Halpern S.H.; Levine T.; Wilson D.B.; MacDonell J.; Katsiris S.E.;
Leighton B.L.
Source: Birth, Volume 26, Number 2, June 1999, pp. 83-88(6)
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE,CIMI
Adjunct Faculty, Union Institute and University, Lactation Program
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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