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Research ArticleOriginal Article

Effect of Labor Epidural Anesthesia on Breast-feeding of Healthy Full-term Newborns Delivered Vaginally

Dennis J. Baumgarder, Patricia Muehl, Mary Fischer and Bridget Pribbenow
The Journal of the American Board of Family Practice January 2003, 16 (1) 7-13; DOI: https://doi.org/10.3122/jabfm.16.1.7
Dennis J. Baumgarder
MD
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Patricia Muehl
RN, MSN
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Mary Fischer
MS
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Bridget Pribbenow
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    Table 1.

    Comparison of Breast-feeding Groups.

    CharacteristicsEpidural Anesthesia (n = 115)No Epidural Anesthesia (n = 116)
    Mean maternal age, y2927
    Nulliparity, %49*34*
    White race, %9596
    Maternal length of stay, d2.01.9
    Infant female, %5050
    Mean gestational age, wk3939
    Mean birth weight, g3,4903,500
    Mean Apgar score—1 min8.28.2
    Mean Apgar score—5 min8.98.9
    Infant umbilical arterial, pH7.27†7.28‡
    Meconium, %1116
    Infant length of stay, d2.02.0
    Infant positive Coombs test, %1110
    Infant void within 24 hours, %9094
    • * P = .02, Mantel-Haenszel chi-square test.

    • † n = 87.

    • ‡ n = 70.

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    Table 2.

    Effect of Labor Epidural Anesthesia on Breast-feeding.

    OutcomesOdds Ratio*95% CIP Value†
    Primary outcome
     Two breast-feedings within 24 h (total LATCH score = 7, latch score = 2/2)0.530.28–1.03.044
    Secondary outcomes
     Two breast-feedings within 24 h (total LATCH score = 7)0.490.21–1.11.060
     Two breast-feedings within 24 h (latch score = 2/2)0.530.28–1.03.044
     Bottle supplement during stay2.631.43–4.85<.001
     Bottle supplement before two breast-feedings (latch score = 2/2)2.171.00–4.74.031
     Bottle supplement within 24 h2.551.26–5.18.004
     First breast-feeding attempt within 1 h1.660.93–2.97.064
    • * Cornfield’s method 95% confidence interval.

    • † Mantel-Haenszel chi-square test.

    • View popup
    Table 3.

    Effect of Timing of Epidural Anesthesia on Breast-feeding.

    OutcomeEpidural Within 2 Hours of BirthEpidural Within 4 Hours of BirthEpidural Within 6 Hours of Birth
    ORP Value*95% CI†ORP Value*95% CI†ORP Value*95% CI†
    Two breast-feedings within 24 h (total LATCH score = 7, latch score = 2/2)0.86.7540.30–2.520.91.8150.38–2.191.26.6110.46–3.41
    Two breast-feedings within 24 h (total LATCH score = 7)0.88.7790.26–3.191.14.7840.40–3.211.48.4460.47–4.59
    • OR—odds ration, CI—confidence interval.

    • * Mantel-Haenszel chi-square test.

    • † Cornfield’s method 95% confidence interval.

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The Journal of the American Board of Family Practice: 16 (1)
The Journal of the American Board of Family Practice
Vol. 16, Issue 1
1 Jan 2003
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Effect of Labor Epidural Anesthesia on Breast-feeding of Healthy Full-term Newborns Delivered Vaginally
Dennis J. Baumgarder, Patricia Muehl, Mary Fischer, Bridget Pribbenow
The Journal of the American Board of Family Practice Jan 2003, 16 (1) 7-13; DOI: 10.3122/jabfm.16.1.7

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Effect of Labor Epidural Anesthesia on Breast-feeding of Healthy Full-term Newborns Delivered Vaginally
Dennis J. Baumgarder, Patricia Muehl, Mary Fischer, Bridget Pribbenow
The Journal of the American Board of Family Practice Jan 2003, 16 (1) 7-13; DOI: 10.3122/jabfm.16.1.7
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