Maternal epidural anesthesia is used with light sedation to keep mother comfortable.
C. M. Sepkoski et al., «The Effects of
Maternal Epidural Anesthesia on Neonatal Behavior During the First Month,» Dev Med Child Neurol 34, no. 12 (1992): 1072 — 1080.
The effects of
maternal epidural anesthesia on neonatal behavior during the first month.
Not exact matches
Hospital Birth · Labor Support · Induction · High Risk · Unmedicated Birth ·
Epidural Birth · Cesarean Birth · Vaginal Birth After Cesarean · Advanced
Maternal Age · Postpartum Support · First Time Parents · Breastfeeding · Formula Feeding · Newborn Care · Newborn Sleep · Toddler Sleep
Labour
epidural anasthesia, obstetric factors and breastfeeding cessation, Dozier et al. (June 2012),
Maternal and Child Health Journal
Epidurals are usually quite effective at lowering
maternal blood pressure... so maybe that is why one was suggested... just a thought.
These differences could not be explained by the more difficult deliveries and subsequent
maternal - infant separations associated with
epidurals.90
Epidurals lower the mother's production of oxytocin, 8 or stop its normal rise during labor.9 The effect of spinals on oxytocin release is even more marked.10
Epidurals also obliterate the
maternal oxytocin peak that occurs at birth 11 — the highest of a mother's lifetime — which catalyses the final powerful contractions of labor and helps mother and baby to fall in love at first meeting.
R. Jouppila et al., «
Maternal and Umbilical Venous Plasma Immunoreactive Beta - Endorphin Levels During Labor With and Without
Epidural Analgesia,» Am J Obstet Gynecol 147, no. 7 (1983): 799 — 802.
M. C. Klein et al., «
Epidural Analgesia Use as a Marker for Physician Approach to Birth: Implications for
Maternal and Newborn Outcomes,» Birth 28, no. 4 (2001): 243 — 248.
Animal studies suggest that the disruption of
maternal hormones caused by
epidurals, described above, may also contribute to
maternal - infant difficulties.
B. L. Leighton and S. H. Halpern, «The Effects of
Epidural Analgesia on Labor,
Maternal, and Neonatal Outcomes: A Systematic Review,» Am J Obstet Gynecol 186, Supplement 5: Nature (2002): S69 — S77.
Fever over 100.4 º F (38º C) during labor is five times more likely overall for women using an
epidural; 44 this rise in temperature is more common in women having their first babies, and more marked with prolonged exposure to
epidurals.45 For example, in one study, 7 percent of first - time mothers laboring with an
epidural were feverish after six hours, increasing to 36 percent after 18 hours.46
Maternal fever can have a significant effect on the baby (see below).
To determine the possible benefits and risks of the use of different birth positions during the second stage of labour without
epidural anaesthesia, on
maternal, fetal, neonatal and caregiver outcomes.
Parity, delayed pushing, use of
epidural analgesia,
maternal body mass index, birth weight, occiput posterior position, and fetal station at complete dilation all have been shown to affect the length of the second stage of labor (26).
After adjustment for
maternal age, lone parent status, income quintile, use of any versus no substances and parity, women in the home birth group were less likely to have
epidural analgesia (odds ratio 0.20, 95 % confidence interval [CI] 0.14 — 0.27), be induced, have their labours augmented with oxytocin or prostaglandins, or have an episiotomy.
In a multivariate analysis controlling for
maternal age, lone parent status, income quintile, parity or use of any substances (illicit drugs, alcohol or tobacco), women who intended to have home births were significantly less likely to be exposed to induction or augmentation of labour,
epidural analgesia, episiotomy or cesarean section (Table 3).
«I think there are still providers that were trained in the earlier era when they preferred their patients to receive an
epidural in the later stages of labor,» said Dr. Neil Seligman a
maternal and fetal medicine expert at University of Rochester Medical Center in New York.
Maternal inflammatory states and diseases such as type 1 diabetes can increase risk of surgical birth, as can interventions such as ultrasound, 14 monitoring, and the
epidural.15 Without vaginal transfer of mom's flora, the baby misses out on the most important inoculation.