Evidence map›Paper›PMID 26463582›Full record

ArticleBirth (Berkeley, Calif.)2015

The Association Between Common Labor Drugs and Suckling When Skin-to-Skin During the First Hour After Birth.

Kajsa Brimdyr, Karin Cadwell, Ann-Marie Widström, Kristin Svensson, Monica Neumann, Elaine A Hart, Sarah Harrington, Raylene Phillips

Abstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Parenteral opioids for maternal pain management in labour.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Endorphins, Sexuality, and Reproduction.Advances in neurobiology · 2024
    Article
  14. Article
  15. A prolonged latent phase: An early career in oxytocin during birth.Comprehensive psychoneuroendocrinology · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Epidural AnalgesiaFrontiers in neuroscience · 2021
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kajsa BrimdyrHealthy Children Project, Inc., East Sandwich, MA, USA.ORCID http://orcid.org/0000-0003-3789-635X
Karin CadwellHealthy Children Project, Inc., East Sandwich, MA, USA.
Ann-Marie WidströmDivision of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Kristin SvenssonDivision of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Monica NeumannObstetric Anesthesiology, Loma Linda University School of Medicine, Loma Linda University Children's Hospital, Loma Linda University Medical Center, Loma Linda, CA, USA.
Elaine A HartLoma Linda University School of Medicine, Loma Linda University Children's Hospital, Loma Linda University Medical Center, Loma Linda, CA, USA.
Sarah HarringtonKern Medical Center, Bakersfield, CA, USA.
Raylene PhillipsDepartment of Pediatrics, Loma Linda University School of Medicine, Loma Linda University Children's Hospital, Loma Linda University Medical Center, Loma Linda, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntrapartum drugs, including fentanyl administered via epidural and synthetic oxytocin, have been previously studied in relation to neonatal outcomes, especially breastfeeding, with conflicting results. We examined the normal neonatal behavior of suckling within the first hour after a vaginal birth while in skin-to-skin contact with mother in relation to these commonly used drugs. Suckling in the first hour after birth has been shown in other studies to increase desirable breastfeeding outcomes.

methodProspective comparative design. Sixty-three low-risk mothers self-selected to labor with intrapartum analgesia/anesthesia or not. Video recordings of infants during the first hour after birth while being held skin-to-skin with their mother were coded and analyzed to ascertain whether or not they achieved Stage 8 (suckling) of Widström's 9 Stages of newborn behavior during the first hour after birth.

resultsA strong inverse correlation was found between the amount and duration of exposure to epidural fentanyl and the amount of synthetic oxytocin against the likelihood of achieving suckling during the first hour after a vaginal birth.

conclusionsResults suggest that intrapartum exposure to the drugs fentanyl and synthetic oxytocin significantly decreased the likelihood of the baby suckling while skin-to-skin with its mother during the first hour after birth.

Indexed as

Breast FeedingFentanylLabor, ObstetricOxytocinAdjuvants, AnesthesiaAnesthesia, EpiduralFemaleHumansInfant, NewbornMaternal-Fetal ExchangeNatural ChildbirthOutcome Assessment, Health CareOxytocicsPregnancySucking BehaviorTime FactorsAdjuvants, AnesthesiaFentanylOxytocicsOxytocinepiduralfentanylskin-to-skin

Identifiers

PMID26463582
PMCPMC5057303

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.