A clinical study of the effects of neonatal weight gain and breastfeeding following lower segment cesarean section under general or spinal anaesthesia with or without post-operative continuous epidural infusion of bupivacaine
DOI:
https://doi.org/10.7439/ijbr.v7i7.3483Abstract
Aim and Objective: We investigated the effect of continuous epidural infusion of bupivacaine following lower segment cesarean section under general or spinal anesthesia on breastfeeding and neonatal weight gain. Methods: The study enrolling 80 female patients of ASA grade I or II, age between 19-35 years were randomly allocated into 4 groups of 20 each. Group I received general anesthesia (Thiopentone sodium) + IM diclofenac 75 mg every 8 hours, post-operatively for three days. Group II received general anesthesia (Thiopentone sodium) + post-operative epidural analgesia (3-4 ml/hour of 0.125% bupivacaine for 3 days). Group III received spinal anesthesia (2.5 ml of 0.5% bupivacaine) + IM diclofenac 75 mg every 8 hours, post-operatively for three day. Group IV received spinal anesthesia (2.5 ml of 0.5% bupivacaine) + post-operative epidural analgesia (3-4 ml/hour of 0.125% bupivacaine for 3 days). The effects of anesthesia on the neonatal outcome, amount of breastfeeding and the infant weight were measured for 10 days after cesarean section. Results: The parturients who received epidural bupivacaine after the cesarean section initiated breastfeeding earlier as compared to those who received intramuscular diclofenac. The neonatal outcome was significantly better in the groups that received regional anesthesia (group III and IV) as compared to the groups that received general anesthesia. In group II and IV, the visual analog pain score after surgery was significantly lower and both the weight of milk fed by breast and the infant weight during the study were significantly more than the respective values in the group I and III. Conclusion: It is concluded that the groups that received post-cesarean analgesia with continuous epidural bupivacaine provided satisfactory pain relief which leads to increase in the frequency of breastfeeding and neonatal weight gain.Downloads
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