Dev Med Child Neurol. 1992 Dec;34(12):1072-80.

The effects of maternal epidural anesthesia on neonatal behavior during the first month.

Sepkoski CM, Lester BM, Ostheimer GW, Brazelton TB.

Source

Cry Research, Inc., Boston University School of Medicine, Cambridge 02141.

Abstract

The effects of maternal epidural anesthesia with bupivacaine on the infant's performance on the Neonatal Behavioral Assessment Scale (NBAS) over the first month of life were examined. 20 non-medicated infants were matched for biomedical and demographic variables with 20 infants delivered with bupivacaine epidural anesthesia. The NBAS was administered on days 1, 3, 7 and 28. The epidural group showed poorer performance on the orientation and motor clusters during the first month of life. Epidural mothers reported spending less time with their infants while in the hospital; post hoc analyses showed that they had longer labor, more forceps deliveries and a greater amount of oxytocin. Controlling for the effects of these medical variables, a dose effect was found for the mean orientation and motor cluster scores. The results are discussed in terms of possible effects of the infant's early disorganization on the mother-infant interaction.

Comment in

Dev Med Child Neurol. 1994 Jan;36(1):91-2.

PMID:: 1451936; [PubMed - indexed for MEDLINE]

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Research Support, Non-U.S. Gov't

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Bupivacaine

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Effects of epidural anesthesia on newborns and their mothers. [Child Dev. 1981]
Effects of epidural anesthesia on newborns and their mothers.
Murray AD, Dolby RM, Nation RL, Thomas DB. Child Dev. 1981 Mar; 52(1):71-82.
The influence of maternal analgesia on neonatal behaviour: II. Epidural bupivacaine. [Br J Obstet Gynaecol. 1981]
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Rosenblatt DB, Belsey EM, Lieberman BA, Redshaw M, Caldwell J, Notarianni L, Smith RL, Beard RW. Br J Obstet Gynaecol. 1981 Apr; 88(4):407-13.
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Review The relationship between neonatal characteristics and three-month mother-infant interaction in high-risk infants.
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Review Fetal and neonatal effects of epidural anesthesia. [Obstet Gynecol Annu. 1985]
Review Fetal and neonatal effects of epidural anesthesia.
Clark RB. Obstet Gynecol Annu. 1985; 14:240-52.

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