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Document Description
Title
The
relationship
between
maternal
labour
analgesia
and
infant
breastfeeding
in the
first
four
days
after
birth
Author
Matthews
,
Mary
Kathleen
,
1939-
Description
Thesis
(M.N.)--Memorial
University
of
Newfoundland
,
1987.
Nursing
Date
1987
Pagination
xi,106 leaves : ill.
Subject
Breastfeeding;
Analgesics;
Mother
and
child;
Labor
(Obstetrics);
Subject.MESH
Breast
Feeding;
Analgesics;
Mother-Child
Relations;
Labor
,
Obstetric
Degree
M.N.
Degree Grantor
Memorial University of Newfoundland. School of Nursing
Discipline
Nursing
Language
Eng
Notes
Bibliography:
leaves
92-96.
Abstract
The
Relationship
between
Maternal
Labour
Analgesia
and
Infant
Breastfeeding
in the
First
Four
Days
After
Birth.
--
This
prospective
ex
post
facto
study
explored
the
relationship
between
two
commonly
used
labour
analgesics
,
meperidine
and
alphaprodine
, and
delay
in
establishing
effective
breastfeeding
in
healthy
neonates
from
birth
to
four
days
post-birth.
–
The
major
purposes
of the
study
were to
describe
the
pattern
of
initiation
of
breastfeeding
in
healthy
neonates
whose
mothers
received
no
analgesia
in
labour
and to
compare
the
patterns
of
initiating
breastfeeding
in
babies
of
mothers
who
received
no
medication
in
labour
with those
babies
whose
mothers
received
labour
analgesic
medication.
--
Infant
suckling
was
assessed
by an
Infant
Breastfeeding
Assessment
Tool
(IBFAT).
The
IBFAT
is
a
new
instrument
which
was
developed
for the
purpose
of the
study
to
assess
and
measure
infant
breastfeeding
competence.
--
The
subjects
of the
study
were
60
healthy
fullterm
newborn
infants
who
were
delivered
spontaneously
following
uncomplicated
labours
and
deliveries.
Selection
was on an
as-they-come
basis
on
admission
to the
well-baby
,
nursery.
Final
sample
was
86.9%
of the
total
eligible
population.
--
The
IBFAT
was
completed
by the
mother
for
every
feeding
and by the
researcher
at
some
randomly
selected
feedings
until
effective
feeding
was
established.
Inter-rater
reliability
was
assessed
by
comparing
the
researcher's
scores
with the
mother's
scores.
Inter-rater
reliability
was
91%.
--
The
researcher
was
blind
to the
medication
status
of
each
baby
until
data
collection
was
completed.
Following
completion
of
data
collection
the
babies
were
divided
into
three
groups
depending
upon
whether
or not
medication
had been
administered
to the
mother.
The
final
groups
were
two
medicated
groups
and
one
non-medicated
comparison
group.
--
First
, a
descriptive
analysis
was
done
on the
pattern
of
initiation
of
breastfeeding
in
babies
of
unmedicated
mothers.
Then the
hypothesis
, that
babies
of
mothers
who
received
analgesia
during
labour
would
take
longer
to
establish
effective
breastfeeding
than
babies
of
unmedicated
mothers
, was
tested
with
oneway
analysis
of
variance
and
Dunnett's
t-test.
To
rule
out
parity
as a
confounding
variable
, the
analysis
was
repeated
on the
babies
of
multiparous
mothers
only
in the
alphaprodine
(n
=
20)
and the
non-medicated
(n
=
18)
groups.
--
The
results
of the
study
showed
that
66.6%
of
babies
of
mothers
who
received
no
analgesia
during
labour
were
breastfeeding
effectively
by
12.5
hours
after
birth
and that
85.7%
had
established
breastfeeding
by
24
hours.
A
statistical
analysis
of
inter-group
scores
in
both
the
mixed
parity
and the
multiparous
only
groups
,
suggested
that
babies
of
mothers
who
received
a
standard
dose
of
analgesic
medication
within
one
to
four
hours
prior
to
delivery
took
significantly
longer
to
establish
effective
breastfeeding
than those
whose
mothers
received
no
medication.
There was
no
statistically
significant
difference
when
the
mother
received
the
medication
within
one
hour
prior
to
delivery.
Babies
of
primiparous
mothers
took
significantly
longer
than
babies
of
multiparous
mothers
in
all
groups.
A
number
of
possible
explanations
are
advanced
for this
result.
--
Delay
in
initiation
of
breastfeeding
has
potentially
deleterious
effects
on
both
mother
and
baby.
From the
results
of the
study
a
number
of
suggestions
for
further
nursing
research
,
practice
and
education
are
put
forward.
Type
Text
Resource Type
Electronic
thesis
or
dissertation
Format
Image/jpeg;
Application/pdf
Source
Paper copy kept in the Centre for Newfoundland Studies, Memorial University Libraries
Local Identifier
81386589
Rights
The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission.
Collection
Electronic
Theses
and
Dissertations
Scanning Status
Completed
PDF File
(17.44
MB)
--
http://collections.mun.ca/PDFs/theses/Matthews_MaryKathleen.pdf
CONTENTdm file name
83213.cpd
