Impact of epidural analgesia during labor on breastfeeding initiation and continuation: a retrospective study

Objective: Although epidural analgesia is widely used during labor, its impact on breastfeeding has not yet reached a consensus. This retrospective cohort study was to investigate the association of patient-controlled epidural analgesia (PCEA) during labor with breastfeeding initiation and continuat...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2020-11, Vol.33 (22), p.3816-3819
Main Authors: Xu, Qiong, Wu, Zhu-Feng, Yang, Nan-Nan, Shi, Mo, Zhu, Zhi-Qin
Format: Article
Language:English
Subjects:
Breastfeeding
epidural analgesia
labor
retrospective study
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Summary:Objective: Although epidural analgesia is widely used during labor, its impact on breastfeeding has not yet reached a consensus. This retrospective cohort study was to investigate the association of patient-controlled epidural analgesia (PCEA) during labor with breastfeeding initiation and continuation. Methods: Medical records from 1 February, 2016 to 31 December, 2016 at Guangzhou Women and Children's Medical Center, China were reviewed for women received PCEA or not. Breastfeeding continuation was assessed by a questionnaire at 6 months after hospital discharge. Results: Nine hundred twenty-two women were enrolled in the study, with 527 of these women received PCEA for labor analgesia. The proportion of timely initiation of breastfeeding (within 1 h after birth), and exclusive or partial breastfeeding at any of the evaluation time points (1, 3, and 6 months) between two groups showed no statistically significant difference. Conclusion: Our data do not support an association between the PCEA and discontinuation of breastfeeding within 6 months postpartum.
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2019.1588247