The Effect of Labor Epidural Analgesia on Breastfeeding Outcomes: A Prospective Observational Cohort Study in a Mixed-Parity Cohort

Anesthesia and Analgesia
Sharon Orbach-ZingerLeonid A Eidelman

Abstract

The effect of labor epidural analgesia (LEA) on successful breastfeeding has been evaluated in several studies with divergent results. We hypothesized that LEA would not influence breastfeeding status 6 weeks postpartum in women who intended to breastfeed in an environment that encourages breastfeeding. In this prospective observational cohort study, a total of 1204 women intending to breastfeed, delivering vaginally with or without LEA, were included; breastfeeding was recorded at 3 days and 6 weeks postpartum. Primary outcome was breastfeeding at 6 weeks, and the χ test was used for comparisons between women delivering with and without LEA, according to parity status and previous breastfeeding experience. Total epidural fentanyl dose and oxytocin use (yes/no) were recorded. A multivariable logistic regression was performed to assess factors affecting breastfeeding at 6 weeks. The overall breastfeeding rate at 6 weeks was 76.9%; it was significantly lower among women delivering with LEA (74.0%) compared with women delivering without LEA (83.4%; P < .001). Among 398 nulliparous women, 84.9% delivered with LEA, compared with 61.8% of multiparous women (P < .001). Multiparous women (N = 806) were more likely to breastfeed at 6 we...Continue Reading

References

Feb 13, 2009·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·W JonasK Uvnäs-Moberg
Sep 9, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·S JordanG Morgan
Jan 16, 2013·Journal of Midwifery & Women's Health·Dorothy Li BaiMarie Tarrant
Jul 1, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Alex FongDotun A Ogunyemi
Jul 22, 2014·Anesthesia and Analgesia·Katherine L WisnerCrystal T Clark
Oct 28, 2014·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Amy Brown, Sue Jordan
Dec 15, 2015·Midwifery·Merav Ben NatanYarden Ben Haim
Apr 29, 2016·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Cynthia A FrenchKeun Sam Chung
Jun 24, 2016·Nestlé Nutrition Institute Workshop Series·Raanan Shamir

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