Epidural analgesia: Breast-feeding success and related factors

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Wiklund, IngelaKarolinska Institutet (författare)

Epidural analgesia : Breast-feeding success and related factors

Artikel/kapitelEngelska2009

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Elsevier BV,2009
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:du-38899
https://urn.kb.se/resolve?urn=urn:nbn:se:du-38899URI
https://doi.org/10.1016/j.midw.2007.07.005DOI
https://res.slu.se/id/publ/61262URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:121728932URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

Objective: to compare the early breast-feeding behaviours of full-term newborns whose mothers had received epidural analgesia (EDA) during an uncomplicated labour, with a group of newborns whose mothers had not received EDA. Design and setting: a retrospective comparative study design was used and the study was carried out in a labour ward in Stockholm, Sweden between January 2000 and April 2000. The ward has about 5500 deliveries per year. Participants: all maternity records of women who had received EDA during labour (n=585) were included in the study. For each EDA record, a control record was selected, matched for parity, age and gestational age at birth. Women with emergency caesarean section, vacuum extraction/forceps, twin pregnancy, breech presentation or an intra-uterine death, as well as neonates with an Apgar score <7 at 5 mins were excluded. After exclusion, the study population consisted of 351 healthy women and babies in each group. Method: logistic regression was performed. The dependent variables: (1) initiation of breast feeding after birth; (2) artificial milk given during hospital stay; and (3) breast feeding at discharge were studied in response to: (a) parity; (b) gestational age at birth; (c) length of first and second stage of labour; (d) administration of oxytocin; (e) administration of EDA; and (f) neonatal weight, as independent variables. Findings: significantly fewer babies of mothers with EDA during labour suckled the breast within the first 4 hours of life [odds ratio (OR) 3.79]. These babies were also more often given artificial milk during their hospital stay (OR 2.19) and fewer were fully breast fed at discharge (OR 1.79). Delayed initiation of breast feeding was also associated with a prolonged first (OR 2.81) and second stage (OR 2.49) and with the administration of oxytocin (OR 3.28). Fewer newborns of multiparae received artificial milk during their hospital stay (OR 0.58). It was also, but to a lesser extent, associated with oxytocin administration (OR 2.15). Full breast feeding at discharge was also positively associated with multiparity (OR 0.44) and birth weight between 3 and 4 kg (OR 0.42). Key conclusions: the study shows that EDA is associated with impaired spontaneous breast feeding including breast feeding at discharge from the hospital. Further studies are needed on the effects of EDA on short- and long-term breast-feeding outcomes. © 2007 Elsevier Ltd. All rights reserved.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
Breast-feeding behaviours
Epidural analgesia
Oxytocin
adult
article
breast feeding
comparative study
confidence interval
drug effect
epidural anesthesia
female
hospital discharge
human
lactation
midwife
obstetric analgesia
organization and management
postnatal care
pregnancy
psychological aspect
puerperium
retrospective study
risk
statistics
Sweden
time
Analgesia
Epidural
Analgesia
Obstetrical
Confidence Intervals
Humans
Midwifery
Odds Ratio
Patient Discharge
Postpartum Period
Retrospective Studies
Time Factors
Young Adult

Biuppslag (personer, institutioner, konferenser, titlar ...)

Norman, M. (författare)
Uvnäs-Moberg, KerstinSwedish University of Agricultural Sciences,Sveriges lantbruksuniversitet,Institutionen för husdjurens miljö och hälsa (HMH),Department of Animal Environment and Health(Swepub:slu)47264 (författare)
Ransjö-Arvidson, A. -BKarolinska Institutet (författare)
Andolf, E.Karolinska Institutet (författare)
Karolinska InstitutetInstitutionen för husdjurens miljö och hälsa (HMH) (creator_code:org_t)
Sveriges lantbruksuniversitet

Sammanhörande titlar

Ingår i:Midwifery: Elsevier BV25:2, s. e31-e380266-61381532-3099

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Av författaren/redakt...: Wiklund, Ingela; Norman, M.; Uvnäs-Moberg, Ke ...; Ransjö-Arvidson, ...; Andolf, E.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Reproduktionsmed ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

Artiklar i publikationen: Midwifery

Av lärosätet: Högskolan Dalarna; Sveriges Lantbruksuniversitet; Karolinska Institutet

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