Abstract
The research project is a comparison study of term newborn breastfeeding infants delivered vaginally to mothers who receive no pain medication and those receiving continuous infusions of bupivacaine and fentanyl given through an epidural catheter, for labor analgesia. The overall premise of the study is that in-utero fetal exposure to maternal epidural-administered narcotics affects central nervous system functioning in the newborn post-birth. Although the effects are subtle, they may be sufficient to disrupt behaviors necessary for the infant to establish effective breastfeeding in the first day post-birth.
It has been reported clinically that there is a higher incidence of breastfeeding disorders observed in breastfed infants born to mothers who labor under epidural analgesia, but this relationship has never been directly investigated. The purpose of this study therefore, was to determine whether there is a difference in breastfeeding behavior between infants born to mothers who receive no pain medication during labor and those who receive continuous infusions of narcotics (fentanyl) in combination with local anesthetics (bupivacaine), through an epidural catheter, for analgesia.
Sigma Membership
Phi Omicron
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Epidural Catheters, Newborn Postbirth Functioning, In-Utero Fetal Narcotics Exposure, Infant Breastfeeding Behaviors
Advisor
Clair Andrews
Second Advisor
McCallum Hoyt
Third Advisor
Theresa Standing
Fourth Advisor
Donna Dowling
Degree
PhD
Degree Grantor
Case Western Reserve University
Degree Year
2001
Recommended Citation
Radzyminski, Sharon Gides, "The effect of epidural bupivacaine and fentanyl on infant breastfeeding behaviors within the first day of life" (2022). Dissertations. 1685.
https://www.sigmarepository.org/dissertations/1685
Rights Holder
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Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2022-04-11
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3010697; ProQuest document ID: 252173917. The author still retains copyright.