Neonatal Sucking Organization After Epidural Analgesia

这两组比较研究的主要目的是检查胎儿暴露与 产妇硬膜外分娩镇痛与新生儿神经行为测定 （行为状态和吸吮组织）。相关联的 以前没有测量过硬膜外镇痛对吸吮组织的影响。次级 目的是研究分娩过程中母体和胎儿急性应激反应（皮质醇）之间的关系， 新生儿行为状态和吸吮组织。这项研究在探索是否存在 在出生后快速适应的关键时期，胎儿应激反应减弱是一个脆弱的环节， 吸吮组织胞质的初步发育。这些发现将是检验这些发现将是检验 早期新生儿神经行为组织的机制和扰动。任何干扰 新生儿神经行为组织的发育有可能改变母婴互动， and the establishment建立of successful成功breastfeeding母乳喂养，especially特别in vulnerable脆弱dyads夫妇.

The primary aim of this two group comparative study is to examine the relationship between fetal exposure to maternal epidural analgesia during labor and measures of neonatal neurobehavioral organization (behavioral state and sucking organization) in the initial feeding at one hour post birth. The associated effects of epiduralanalgesia on sucking organization have not been previously measured. The secondary aim is to examine the relationship between maternaland fetal acute stress responses (cortisol) during labor, and neonatal behavioral state and sucking organization. This research is innovative in exploring whether an attenuated fetal stress response during the criticalperiodof rapidadaptation after birth is a vulnerable link in the initial development of sucking organization afterbirth. These findings will beaninitial step in examining the mechanisms, and perturbations, of early neonatal neurobehavioral organization. Any disruption in the development of neonatal neurobehavioral organization has the potential to alter mother-infant interaction, and the establishment of successfulbreastfeeding, especially in vulnerable dyads.