Breastfeeding success rate after vaginal delivery can be high despite the use of epidural fentanyl: an observational cohort study

International Journal of Obstetric Anesthesia
P M WieczorekJ C A Carvalho

Abstract

Epidural labor analgesia inclusive of high-dose fentanyl has been thought to affect breastfeeding in multiparous patients. In our experience, this effect is not as significant as quoted in the literature. This study was designed to evaluate breastfeeding success in women receiving epidural analgesia with fentanyl-containing solutions at our institution. Term multiparous women who received epidural analgesia for labor, had previously breastfed, and who intended to breastfeed, were recruited. Baseline demographics, as well as detailed epidural, obstetric and neonatal data, were collected. Epidural analgesia was achieved with a mixture of bupivacaine and fentanyl. Subjects were telephoned both 1 and 6 weeks after delivery, and a breastfeeding questionnaire was completed. Our primary outcome was breastfeeding cessation at 6 weeks. One hundred and five women were recruited, with 18 exclusions. The median cumulative epidural fentanyl dose was 151.4 microg (30-570 microg). No neonates developed complications attributable to labor analgesia. Four women stopped breastfeeding because of issues related to the baby (4.6%); only one of them received a fentanyl dose >150 microg. The breastfeeding success rate was therefore >95%. The women ha...Continue Reading

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Citations

Jun 15, 2012·Maternal and Child Health Journal·Ann M DozierRuth A Lawrence
Dec 15, 2011·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Salvatore GizzoGiovanni Battista Nardelli
Nov 30, 2014·Italian Journal of Pediatrics·Antonio Alberto ZuppaCostantino Romagnoli
Feb 3, 2016·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Sarah Armstrong, Roshan Fernando
Dec 15, 2010·International Journal of Obstetric Anesthesia·Felicity Reynolds
Apr 29, 2016·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Cynthia A FrenchKeun Sam Chung
Jun 5, 2014·Maternal and Child Health Journal·Paola Agnese MauriIrene Di Benedetto

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