Rashaan Mims
Annotated Bibliography My goal is to examine the relationship between labor pain-management options and maternal and neonatal outcomes/satisfaction.
1. Adams J, Frawley J, Steel A, Broom A, Sibbritt D. Use of pharmacological and non pharmacological labour pain management techniques and their relationship to maternal and infant birth outcomes: Examination of a nationally representative sample of 1835 pregnant women. Midwifery. 2015;31(4):458-463. doi: 10.1016/j.midw.2014.12.012 [doi].
The purpose of this study was to analyze the relationship between the use of medicinal and non-medicinal pain management techniques on birth outcomes. This study included 1835 of 2445 women that completed the Australian Longitudinal Study on Women’s Health in 2009. …show more content…
In general, medications that are very lipid-soluble, have low molecular weights, less protein-bound, or have a higher pKa are linked to greater presence in breastmilk. Neuraxial Anesthesia is the gold standard for labor analgesia and Cesarean deliveries. A combination of local anesthetics and opioid medications are commonly used. Local anesthetics are large, polarized molecules and do not penetrate into lactating ducts. The serum concentration of opioids is usually very small. Both intrathecal or epidural fentanyl and morphine can be safely used by cesarean and non-cesarean patients, but should be used with caution. The general principal is that a mother can breastfeeding one she becomes awake, stable, and aware after anesthesia exposure because it signifies that the sedatives have left the milk compartment. This article is useful to my project because it clarifies some common misconceptions about the effects of anesthesia on breastfeeding. I am aware that this article is more-so a practitioner’s review, but we could not figure out if it is peer-reviewed or
Annotated Bibliography My goal is to examine the relationship between labor pain-management options and maternal and neonatal outcomes/satisfaction.
1. Adams J, Frawley J, Steel A, Broom A, Sibbritt D. Use of pharmacological and non pharmacological labour pain management techniques and their relationship to maternal and infant birth outcomes: Examination of a nationally representative sample of 1835 pregnant women. Midwifery. 2015;31(4):458-463. doi: 10.1016/j.midw.2014.12.012 [doi].
The purpose of this study was to analyze the relationship between the use of medicinal and non-medicinal pain management techniques on birth outcomes. This study included 1835 of 2445 women that completed the Australian Longitudinal Study on Women’s Health in 2009. …show more content…
In general, medications that are very lipid-soluble, have low molecular weights, less protein-bound, or have a higher pKa are linked to greater presence in breastmilk. Neuraxial Anesthesia is the gold standard for labor analgesia and Cesarean deliveries. A combination of local anesthetics and opioid medications are commonly used. Local anesthetics are large, polarized molecules and do not penetrate into lactating ducts. The serum concentration of opioids is usually very small. Both intrathecal or epidural fentanyl and morphine can be safely used by cesarean and non-cesarean patients, but should be used with caution. The general principal is that a mother can breastfeeding one she becomes awake, stable, and aware after anesthesia exposure because it signifies that the sedatives have left the milk compartment. This article is useful to my project because it clarifies some common misconceptions about the effects of anesthesia on breastfeeding. I am aware that this article is more-so a practitioner’s review, but we could not figure out if it is peer-reviewed or