Intrapartum Epidural Fentanyl/Bupivacaine Analgesia, Infant Feeding Behavior, & Breast-Feeding Outcomes
- Conditions
- Anesthesia, EpiduralBreast Feeding
- Registration Number
- NCT01260051
- Lead Sponsor
- University Hospitals Cleveland Medical Center
- Brief Summary
Currently, no clear consensus exists regarding the effect of epidural anesthesia upon breast-feeding. In theory, epidurals may increase breast-feeding failure via inadequate maternal milk production, deficiencies in neonatal neurobehavior, or both, but most studies have failed to separate these potential mechanisms. The present study examines whether epidural duration correlates with 1) likelihood of breast-feeding at hospital discharge and 2) neonatal neurobehavioral deficits in feeding, as measured by the L\&A components of the standardized, validated LATCH scoring system.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 310
- Vaginal delivery
- Delivery of a single live neonate
- NICU admission following delivery
- Pitocin augmentation
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Breast-Feeding at Hospital Discharge Baseline This outcome variable is binary. If a woman is breast-feeding with bottle supplementation at the time of hospital discharge, then she is recorded as "Yes."
- Secondary Outcome Measures
Name Time Method L&A Components of LATCH Score Baseline The L component of the score measures neonatal ability to latch at the breast and the A component measures the presence of audible swallows, which are variables that reflect neonatal neurobehavioral capacity with respect to feeding.
Trial Locations
- Locations (1)
University Hospitals Case Medical Center
🇺🇸Cleveland, Ohio, United States