title: Epidural analgesia, neonatal care and breastfeeding.
abstract: The objective of our study is to evaluate the correlation between epidural analgesia during labor, start of breastfeeding and type of maternal-neonatal care.Two different assistance models were considered: Partial and Full Rooming-in.In this cohort study, 2480 healthy infants were enrolled, 1519 in the Partial Rooming-in group and 1321 in the Full Rooming-in group; 1223 were born to women subjected to epidural analgesia in labor.In case of Partial Rooming-in the rate of exclusive or prevailing breastfeeding is significant more frequent in newborns born to mothers who didn't receive analgesia. Instead, in case of Full Rooming-in the rate of exclusive or prevailing breastfeeding is almost the same and there's no correlation between the use or not of epidural analgesia.The good start of lactation and the success of breastfeeding seems to be guaranteed by the type of care offered to the couple mother-infant, that reverses any possible adverse effects of the use of epidural analgesia in labor.
authors.affiliation: Department of Pediatric, Division of Neonatology, "A. Gemelli" General Hospital, Largo Agostino Gemelli, 8, 00168, Roma, RM, Italy. zuppaaa@rm.unicatt.it.
authors.forename: Antonio Alberto
authors.initials: AA
authors.lastname: Zuppa
authors.affiliation: Department of Pediatric, Division of Neonatology, "A. Gemelli" General Hospital, Largo Agostino Gemelli, 8, 00168, Roma, RM, Italy. giannialighieri@gmail.com.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Alighieri
authors.affiliation: Department of Pediatric, Division of Neonatology, "A. Gemelli" General Hospital, Largo Agostino Gemelli, 8, 00168, Roma, RM, Italy. riccardo.riccardi@live.it.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Riccardi
authors.affiliation: Department of Pediatric, Division of Neonatology, "A. Gemelli" General Hospital, Largo Agostino Gemelli, 8, 00168, Roma, RM, Italy. maricav@hotmail.it.
authors.forename: Maria
authors.initials: M
authors.lastname: Cavani
authors.affiliation: Department of Pediatric, Division of Neonatology, "A. Gemelli" General Hospital, Largo Agostino Gemelli, 8, 00168, Roma, RM, Italy. alma.iafisco@virgilio.it.
authors.forename: Alma
authors.initials: A
authors.lastname: Iafisco
authors.affiliation: Department of Pediatric, Division of Neonatology, "A. Gemelli" General Hospital, Largo Agostino Gemelli, 8, 00168, Roma, RM, Italy. frnchr@libero.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Cota
authors.affiliation: Department of Pediatric, Division of Neonatology, "A. Gemelli" General Hospital, Largo Agostino Gemelli, 8, 00168, Roma, RM, Italy. cromagnoli@rm.unicatt.it.
authors.forename: Costantino
authors.initials: C
authors.lastname: Romagnoli
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D001942:Breast Feeding / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007558:Italy; D008297:Male; D009035:Mothers; D012189:Retrospective Studies