Epidural analgesia, neonatal care and breastfeeding.

Ital J Pediatr

Department of Pediatric, Division of Neonatology, "A. Gemelli" General Hospital, Largo Agostino Gemelli, 8, 00168, Roma, RM, Italy.

Published: November 2014

AI Article Synopsis

  • The study examines how epidural analgesia during labor affects breastfeeding success and maternal-neonatal care, comparing two models: Partial and Full Rooming-in.
  • Infants born from mothers who received epidural analgesia showed a lower rate of exclusive or predominant breastfeeding in the Partial Rooming-in model, but in the Full Rooming-in model, this effect was negligible.
  • The findings suggest that the care type provided to mothers and infants can mitigate potential negative effects of epidural analgesia on breastfeeding.

Article Abstract

The objective of our study is to evaluate the correlation between epidural analgesia during labor, start of breastfeeding and type of maternal-neonatal care.Two different assistance models were considered: Partial and Full Rooming-in.In this cohort study, 2480 healthy infants were enrolled, 1519 in the Partial Rooming-in group and 1321 in the Full Rooming-in group; 1223 were born to women subjected to epidural analgesia in labor.In case of Partial Rooming-in the rate of exclusive or prevailing breastfeeding is significant more frequent in newborns born to mothers who didn't receive analgesia. Instead, in case of Full Rooming-in the rate of exclusive or prevailing breastfeeding is almost the same and there's no correlation between the use or not of epidural analgesia.The good start of lactation and the success of breastfeeding seems to be guaranteed by the type of care offered to the couple mother-infant, that reverses any possible adverse effects of the use of epidural analgesia in labor.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335561PMC
http://dx.doi.org/10.1186/s13052-014-0082-6DOI Listing

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