The Association Between Common Labor Drugs and Suckling When Skin‐to‐Skin During the First Hour After Birth

Kajsa Brimdyr; Karin Cadwell; Ann‐Marie Widström; Kristin Svensson; Monica Neumann; Elaine A. Hart; Sarah Harrington; Raylene Phillips

doi:10.1111/birt.12186

journal article Open Access Oct 13, 2015

The Association Between Common Labor Drugs and Suckling When Skin‐to‐Skin During the First Hour After Birth

Kajsa Brimdyr

Karin Cadwell Ann‐Marie Widström Kristin Svensson Monica Neumann Elaine A. Hart Sarah Harrington Raylene Phillips

Birth Vol. 42 No. 4 pp. 319-328 · Wiley

View at Publisher Save 10.1111/birt.12186

Abstract

AbstractBackgroundIntrapartum 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.MethodProspective 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 Widström's 9 Stages of newborn behavior during the first hour after birth.ResultsA 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.ConclusionsResults 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.

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References

Details

Published: Oct 13, 2015
Vol/Issue: 42(4)
Pages: 319-328
License: View

Authors

K

Kajsa Brimdyr

Healthy Children Project, Inc. East Sandwich MA USA; Maternal Child Health Union Institute and University Cincinnati OH USA

K

Karin Cadwell

Healthy Children Project, Inc. East Sandwich MA USA; Maternal Child Health Graduate Program in Health and Wellness Union Institute and University Cincinnati OH USA

A

Ann‐Marie Widström

Division of Reproductive Health Department of Women's and Children's Health Karolinska Institutet Stockholm Sweden

K

Kristin Svensson

Division of Reproductive Health Department of Women's and Children's Health Karolinska Institutet Stockholm Sweden

M

Monica Neumann

Obstetric Anesthesiology Loma Linda University School of Medicine Loma Linda University Children's Hospital Loma Linda University Medical Center Loma Linda CA USA

E

Elaine A. Hart

Loma Linda University School of Medicine Loma Linda University Children's Hospital Loma Linda University Medical Center Loma Linda CA USA

S

Sarah Harrington

Kern Medical Center Bakersfield CA USA; Loma Linda University School of Medicine Loma Linda CA USA

R

Raylene Phillips

Department of Pediatrics Loma Linda University School of Medicine Loma Linda University Children's Hospital Loma Linda University Medical Center Loma Linda CA USA

Cite This Article

Kajsa Brimdyr, Karin Cadwell, Ann‐Marie Widström, et al. (2015). The Association Between Common Labor Drugs and Suckling When Skin‐to‐Skin During the First Hour After Birth. Birth, 42(4), 319-328. https://doi.org/10.1111/birt.12186

The Association Between Common Labor Drugs and Suckling When Skin‐to‐Skin During the First Hour After Birth

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