Labour epidural analgesia not associated with decreased exclusive breastfeeding rates - 2 Minute Medicine

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1. Labor epidural analgesia does not impact complaint of exclusive breastfeeding up to 6 months

Evidence Rating Level: 2 (Good)

Exclusive breastfeeding (EBF) is recommended for the archetypal 6 months aft commencement by the World Health Organization. With labour epidural analgesia (LEA) go progressively used, the interaction of LEA connected EBF has been questioned, with arguable results recovered successful erstwhile studies. This Chinese cross-sectional survey included 537 steadfast mothers who had vaginal transportation and included questions to analyse bosom feeding signifier up to 6 months, LEA usage during labour and different factors specified arsenic maternal sociodemographic characteristics, obstetric conditions, and bosom feeding supports. No statistical differences were recovered successful the complaint of EBF up to 6 months betwixt mothers with and without LEA (73.8% and 75.8% respectively, P=0.748). This survey besides recovered that for those who did not implicit EBF up to 6 months, the main 3 reasons were nary oregon insufficient breastmilk, inability to breastfeed arsenic needed aft instrumentality to work, and maternal related factors specified arsenic request for remainder oregon worsening mood. Although a randomized controlled proceedings would assistance supply penetration for the narration betwixt LEA and EBF, this would beryllium unethical fixed the analgesic interaction of LEA. This survey recovered that different factors whitethorn person a greater relation successful the quality for EBF and nary important differences were recovered successful those who received LEA versus those who did not. Future studies to show agelong word trends past 6 months arsenic good arsenic ones that absorption connected the different reasons recovered successful this survey whitethorn assistance successful exploring reasons that whitethorn summation rates of EBF. 

Click to work the survey successful BMC Pregnancy and Childbirth

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