The Association Between Common Labor Drugs and Suckling When Skin-to-Skin During the First Hour After Birth
The Association Between Common Labor Drugs and Suckling When Skin-to-Skin During the First Hour After Birth
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DOI：
10.1111/birt.12186
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发表时间：
2015-12-01
影响因子：
2.5
通讯作者：
Phillips, Raylene
中科院分区：
文献类型：
--
作者：
Brimdyr, Kajsa;Cadwell, Karin;Phillips, Raylene
背景：分娩期间的药物，包括通过硬膜外注射芬太尼和合成催产素，已经被研究与新生儿结局有关，特别是母乳喂养，结果相互矛盾。我们检查了与这些常用药物有关的正常新生儿在阴道分娩后第一个小时内与母亲皮肤接触时的哺乳行为。其他研究表明，在出生后的第一个小时哺乳可以增加理想的母乳喂养效果。方法：前瞻性比较设计。63例低危产妇自选分娩镇痛/麻醉或不分娩。婴儿在出生后第一个小时与母亲面对面时的视频记录被编码并分析，以确定他们在出生后第一个小时是否达到了Widstrom新生儿行为的9个阶段的第8阶段(哺乳)。结果：硬膜外芬太尼量和持续时间与合成催产素的量与阴道分娩后1小时内哺乳的可能性呈显著负相关。结论：结果表明，产中接触药物芬太尼和合成催产素显著降低了婴儿在出生后1小时内与母亲皮肤接触时哺乳的可能性。(出生42：2015年12月4日)
Background: Intrapartum drugs, including fentanyl administered via epidural and synthetic oxytocin, have been previously studied in relation to neonatal outcomes, especially breastfeeding, with conflicting results. We examined the normal neonatal behavior of suckling within the first hour after a vaginal birth while in skin-to-skin contact with mother in relation to these commonly used drugs. Suckling in the first hour after birth has been shown in other studies to increase desirable breastfeeding outcomes. Method: Prospective comparative design. Sixty-three low-risk mothers self-selected to labor with intrapartum analgesia/anesthesia or not. Video recordings of infants during the first hour after birth while being held skin-to-skin with their mother were coded and analyzed to ascertain whether or not they achieved Stage 8 (suckling) of Widstrom's 9 Stages of newborn behavior during the first hour after birth. Results: A strong inverse correlation was found between the amount and duration of exposure to epidural fentanyl and the amount of synthetic oxytocin against the likelihood of achieving suckling during the first hour after a vaginal birth. Conclusions: Results suggest that intrapartum exposure to the drugs fentanyl and synthetic oxytocin significantly decreased the likelihood of the baby suckling while skin-to-skin with its mother during the first hour after birth. (BIRTH 42:4 December 2015)