التفاصيل البيبلوغرافية
| العنوان: |
The effect of labor medications on normal newborn behavior in the first hour after birth: A prospective cohort study. |
| المؤلفون: |
Brimdyr, Kajsa1 (AUTHOR) kajsa@centerforbreastfeeding.org, Cadwell, Karin1 (AUTHOR) karin@centerforbreastfeeding.org, Widström, Ann-Marie1 (AUTHOR) Ann-Marie.Widstrom@ki.se, Svensson, Kristin1 (AUTHOR) Kristin.Svensson@ki.se, Phillips, Rayle1 (AUTHOR) RPhillips@llu.edu |
| المصدر: |
Early Human Development. May2019, Vol. 132, p30-36. 7p. |
| مصطلحات موضوعية: |
*COHORT analysis, *NEWBORN infants, *LONGITUDINAL method, *CHILDBIRTH, *PREMATURE labor |
| مستخلص: |
Background: Skin-to-skin contact after birth between mother and baby has immediate and long-term advantages. Widström's 9 Stages of Newborn Behavior offer an opportunity to evaluate a baby in the natural, expected and optimal habitat. Intrapartum drugs, including fentanyl administered via epidural and synthetic oxytocin (synOT), have been studied in relation to neonatal outcomes with conflicting results.Aims: Determine the effects of common intrapartum medications on the instinctive behavior of healthy newborns during the first hour after birth through a prospective cohort study.Study Design: Video record newly-born term infants during the first hour after birth while in skin-to-skin contact with mother. Code and analyze videos using Widström's 9 Stages; compare with the labor medications mothers received.Subjects: Convenience sample of sixty-three low-income mothers self-selected to labor with or without intrapartum analgesia.Outcome Measures: Duration of time infants spend in each of Widström's 9 Stages for four cohorts: 1) exposed to no synOT or epidural fentanyl during labor, 2) exposed to fentanyl (but not synOT), 3) exposed synOT (but not fentanyl), 4) exposed to both fentanyl and synOT.Results: A strong inverse correlation was found between intrapartum exposure to fentanyl and synOT and the normal behavior of an infant, as measured by time in each Stage.Conclusions: Intrapartum exposure to the drugs fentanyl and synOT is associated with altered newborn infant behavior, including suckling, while in skin-to-skin contact with mother during the first hour after birth. Widström's 9 Stages offer an opportunity to analyze newborn behavior whilst in the optimal habitat of the infant. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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