Too many studies have not looked closely at ALL the contributing, or covariate, factors when studying the relationship
between epidural analgesia and breastfeeding.
For women who choose to formula feed this may not be of any consequence but for those women who are looking forward to breastfeeding and who have chosen this method of nourishment for their babies, the possible connection
between epidural anesthesia and any other avoidable barriers to breastfeeding are important to identify and resolve.
A Cochrane review found that: «Women who used epidurals were more likely to have a longer delivery (second stage of labour), needed their labour contractions stimulated with oxytocin, experienced very low blood pressure, were unable to move for a period of time after the birth (motor blockage), had problems passing urine (fluid retention) and suffered fever and association
between epidural analgesia and instrumental birth.»
I think you're going to see such a difference
between an epidural birth and an epidural - free birth.
These studies show little difference
between epidural and nonepidural (usually opiate - exposed) babies in terms of Apgar score and umbilical - cord pH, both of which reflect the baby's condition at birth.78 However, a large - population survey from Sweden found that use of an epidural was significantly associated with a low Apgar score at birth.79
Volmanen et al (2004) identified an association
between epidural use and the perception amongst mothers of not having enough milk and a propensity for mixed feeding
Dozier et al (2013) also identified the link
between epidural use and limited breastfeeding duration, but their study was substantial in that they looked at all the contributing, or covariate, factors in the the relationship
between epidural analgesia and breastfeeding including the associated use of IV fluid and synocinin.
While Hollie also mentions links
between epidurals and autism, this research can not be substantiated scientifically by the medical community.
Not exact matches
Epidurals are administered
between contractions and require moms to curl forward so the spinal column and vertebrae stick out for increased visibility.
Of course they give in and get an
epidural at the drop of a hat because they don't realize that there's a difference
between good pain and bad pain.
Flint and colleagues suggested that when midwives get to know the women for whom they provide care, interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal births of 77 %, with 35 % of women having a home birth.23 A review of care for women at low risk of complications has shown that continuity of midwifery care is generally associated with lower intervention rates than standard maternity care.24 Variation in normal birth rates
between services (62 % -80 %), however, seems to be greater than outcome differences
between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use of
epidural analgesia, for example, varies widely
between Queen Charlotte's Hospital, London, and the North Staffordshire NHS Trust.
Epidurals cut off the hormonal communication
between mother and baby during labor and the baby gets in trouble.
Some research shows a link
between having an
epidural during labor and having a baby who is posterior at birth.
I knew I didn't want an
epidural but I was beginning to panic
between contractions and knew I needed something to calm down.
New moms - to - be often have a difficult time deciding
between a natural childbirth and getting an
epidural during labor.
For example, the recent Eunice Kennedy Shriver National Institute of Child Health and Human Development document suggested allowing one additional hour in the setting of an
epidural, thus, at least 3 hours in multiparous women and 4 hours in nulliparous women be used to diagnose second - stage arrest, although that document did not clarify
between pushing time or total second stage (33).
With the second child, I did have an
epidural, but I was on the verge of saying I didn't want it after all, because I seemed to be handling the contractions well, having read a lot about natural birth in the couple of years
between kids.
But then the other situation is really straight up for pain relief when I, most of the time, when I would recommend an
epidural is when I see, and am I wondering if that woman is crossing the line
between pain and suffering.
But with the help of birthing classes, you can learn about natural methods for pain relief, such as breathing techniques, massage and acupuncture — and get a more informed idea as to whether an
epidural is your first choice, last resort or something in
between.
Surprisingly, deciding
between a natural childbirth vs
epidural isn't just about the pain.
«The pain before the
epidural was intense when I was actually having contractions but it wasn't terrible in
between,» she says.
Epidurals only last
between two and four hours, though the anesthesiologist can «top off» the medication.
and studies have begun to look at the relationship
between the use of
epidural and longer - term neonatal outcomes.
A comparative study
between magnesium sulphate and clonidine as adjuvants to
epidural anesthesia in patients undergoing abdominal hysterectomies.
«Although we found an association
between women who experience less pain during labor and lower risk for postpartum depression, we do not know if effective pain control with
epidural analgesia will assure avoidance of the condition,» said Dr. Lim.
Epidural hematoma brain injuries (also referred to as extradural hemorrhages) involve blood pooling
between the outer membrane (the dura) and the skull.