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Master Thesis

Analgésie péridurale et allaitement maternel : revue de la littérature

Abstract : Background: epidural analgesia is widely used to relieve pain during labor and delivery. This technique has been improved over the years to have the least possible effect on mothers and newborns. However, several studies have attempted to study the effects of epidural analgesia on breastfeeding. Objectives: the objective of this study was to clarify the relationship that may exist between the use of an epidural during labor and the initiation of breastfeeding and its continuation. Methodology: we made a review of the literature to perform a critical analysis of the studies selected according to a precise methodology based on the methodology of the Cochrane reviews. We assessed the results of the included studies regarding breastfeeding outcomes. The outcome measures were initiation of breastfeeding through neonatal behaviors and breastfeeding effectiveness in the first hours of life and duration of breastfeeding. Main results: we evalued 18 studies including 3 randomized controlled trials, 12 prospective cohort studies and 3 retrospective cohort studies. These studies included a total of 14,697 patients and their newborns. Finally, studies found an association between breastfeeding and epidural analgesia mainly in the first 3 days of life. The results concerning long-term follow-up are very heterogeneous between the studies: 5 studies did not find an association between breastfeeding and epidural analgesia, 7 studies found a negative association and 2 studies found mixed results. Conclusion: the results are contradictory between the studies and it is not possible to conclude that there is an association between the use of epidural analgesia and breastfeeding, in particular due to many confounding factors.
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https://dumas.ccsd.cnrs.fr/dumas-03356151
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Submitted on : Monday, September 27, 2021 - 5:16:09 PM
Last modification on : Friday, August 5, 2022 - 2:50:25 PM
Long-term archiving on: : Tuesday, December 28, 2021 - 7:14:25 PM

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Assia Nesri. Analgésie péridurale et allaitement maternel : revue de la littérature. Gynécologie et obstétrique. 2021. ⟨dumas-03356151⟩

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